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
Answer is B. 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