Metabolic acidosis may be associated with:

A. Cardiac myocytes (heart muscle cells) are less likely to undergo neoplastic transformation compared to other cell types. These cells have a very limited ability to proliferate and typically do not undergo the rapid cell division that is characteristic of cancerous growth.

B. Hepatocytes (liver cells) are capable of undergoing neoplastic transformation and can give rise to liver cancer (hepatocellular carcinoma) under certain conditions, such as chronic liver disease or cirrhosis.

C. Epithelial cells, which line body surfaces and cavities, are among the most common cell types to undergo neoplastic transformation. Various cancers, such as skin cancer, lung cancer, and colorectal cancer, arise from epithelial cells.

D. Lymphocytes (a type of white blood cell) can develop into neoplasms, such as lymphomas or leukemias, when they undergo malignant transformation.

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.