Which condition results from a deficit of HCO3 and pH 7.23?

A. Identifying specific pathogens is important for guiding treatment, but the immediate focus in septic shock is on supporting circulation and treating the source of infection rather than just identification.

B. Improving tissue perfusion through intravenous fluid and blood replacement is part of the treatment but is not the sole focus. It is a supportive measure, and it is done alongside treating the source of infection.

C. Administering antibiotics is critical in septic shock but is only part of the treatment. It should be done alongside efforts to support circulation and treat the source of infection.

D. Treating the source of infection and supporting circulation are the primary goals in managing septic shock. This includes administering fluids, antibiotics, and sometimes vasopressors, in addition to addressing the underlying infection.

A. Pleural effusion involves the accumulation of fluid in the pleural space, which typically causes a decrease or absence of breath sounds, not wheezing.

B. Emphysema is a type of chronic obstructive pulmonary disease (COPD) that leads to damage of the alveoli and air sacs, which may result in wheezing, but it is not the most direct cause of high-pitched wheezing.

C. High-pitched wheezing is often a result of airway constriction or narrowing, which occurs in conditions like asthma, bronchitis, or anaphylaxis. The sound is caused by turbulent airflow through narrowed airways.

D. Hemoptysis refers to coughing up blood and does not cause wheezing. It is a symptom that may be associated with various respiratory conditions, but it does not directly cause the wheezing sound.