67 year old man, k/c of DM, HTN, presented with CAP, after initial fluids resuscitation, his Transpulmonary thermodilution device reading (EV1000 Volume view®️) showed the following picture.

What is the best next step?
- Give more i.v fluids?
- Start Vasopressors?
- Give an Inodilator (Dobutamine)?
- Fluid off-loading?
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