This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
Which of the following should be avoided initially in hemorrhagic shock: March 2011 
Select and explain. 
A. Ringer lactate, B. Dextrose 5%, C. Normal saline, D. None of the above
B: Dextrose 5%
Answer: B: Dextrose 5% 
Explanation: Ans. B: Dextrose 5% Hypotonic solutions (e.g. dextrose) are poor volume expanders and should not be used in the treatment of shock unless the deficit is free water loss (e.g. diabetes insipidus) or patients are sodium overloaded (e.g. cirrhosis) Glucose containing solutions should not be used in shock (they exacerbate ischaemic brain damage)