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Unknown General 52119d0a

A child presents with peripheral circulatory failure. The arterial pH is 7.0, pCO2 of 15 mmHg, pO2 76 mmHg. Which of the following will be the immediate therapy-

A
Sodium bicarbonate infusion
B
A bolus of Ringers lactate
C
A bolus of hydroxyethyl starch
D
Dopamine infusion
High-Yield Explanation
Ans- B Volume replacement by RL or normal saline is the first step in the management of shock (peripheral circulatory failure). Giving Sod bicarb without fluids increases mortality by cardio-depressant action

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