He improved slightly with 1.9 L of IVF but then declined again and required initiation of Levophed.
 He has septic shock
(ROOT (S (NP (PRP He)) (VP (VP (VBD improved) (ADVP (RB slightly)) (PP (IN with) (NP (NP (CD 1.9) (NN L)) (PP (IN of) (NP (NN IVF)))))) (CC but) (PP (ADVP (RB then)) (UCP (VBD declined) (ADVP (RB again)) (CC and)) (VP (VBN required) (NP (NP (NN initiation)) (PP (IN of) (NP (NNP Levophed))))))) (. .)))
(ROOT (S (NP (PRP He)) (VP (VBZ has) (NP (JJ septic) (NN shock)))))
( He ( ( ( ( ( improved slightly ) ( with ( ( 1.9 L ) ( of IVF ) ) ) ) but ) ( ( then ( declined ( again and ) ) ) ( required ( initiation ( of Levophed ) ) ) ) ) . ) )
( He ( has ( septic shock ) ) )