Which medication is not recommended in the treatment of shock-related lactic acidosis?
a. Glucose
b. Sodium bicarbonate
c. Vasoconstrictor
d. Large quantity of crystalloids fluids
B
Sodium bicarbonate is not recommended in the treatment of shock-related lactic acidosis. Glucose control to a target level of 140 to 180 mg/dL is recommended for all critically ill patients. Vasoconstrictor agents are used to increase afterload by increasing the systemic vascular resistance and improving the patient's blood pressure level. Crystalloids are balanced electrolyte solutions that may be hypotonic, isotonic, or hypertonic. Examples of crystalloid solutions used in shock situations are normal saline and lactated Ringer solution.
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