A 12yo boy with very high risk ALL, recent chemotherapy 4 days prior, presents to the ED with fever and lethargy. Temperature is 39C, HR 180, RR 24, BP 80/50.  The patient is lethargic, has no nuchal rigidity, lungs are clear to auscultation, heart is tachycardic but regular rate and rhythm, abdominal exam is benign, and there is no rash. Pulses are bounding, there is flash capillary refill, skin is warm and dry. After adequate fluid resuscitation, cultures, and empiric antibiotics, the patient remains hypotensive. The next best treatment is:

A. Dopamine IV at 5 mcg/kg/min

B. Epinephrine IV at 0.1 mcg/kg/min

C. Norepinephrine IV at 0.1 mcg/kg/min

D. Dobutamine IV at 5 mcg/kg/min

E. Hydrocortisone 1 mg/kg IV