@DocPriyamMD Metabolic acidosis - cause elevated lactate ? Needs immediate intubation & ventilation, maintaining MAP around 65 and UO - 0.5 ml/kg/hr. Bicarb infusion to elevate pH around 7.2. Other supportive care with fluids, antibiotics and diagnostic images.
@CivilLearning1 A story is praiseworthy when it is a fact in this materialistic world. Madam u inspire. May u stay healthy & wealthy in your lovely endeavors.