<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 55-year-old man with a history of IV drug abuse presents to the emergency department with an altered mental status. He was found unconscious in the park by police. His temperature is 100.0F 37.8C, blood pressure is 8748 mmHg, pulse is 150min, respirations are 17min, and oxygen saturation is 98 on room air. Physical exam is notable for multiple scars and abscesses in the antecubital fossa. His laboratory studies are ordered as seen below.Serum:Na: 139 mEqLCl-: 105 mEqLK: 4.3 mEqLHCO3-: 19 mEqLBUN: 20 mgdLGlucose: 95 mgdLCreatinine: 1.5 mgdLCa2: 10.2 mgdLWhich of the following is the most appropriate treatment for this patients blood pressure and acid-base status?? A: Dextrose 5 normal saline, B: Hypertonic saline, C: Normal saline, D: Ringer lactate, E: Sodium bicarbonate,  <response>: This is a question about treating hypotension and acidosis in a patient with a history of IV drug abuse. The key findings are:- Hypotension with low blood pressure of 8748 mmHg- Acidosis with low serum bicarbonate of 19 mEqL - Normal sodium, potassium, BUN, glucose, and calcium- Slightly elevated creatinine at 1.5 mgdLThe goal is to improve blood pressure without worsening acidosis. Choice A with dextrose 5 saline may help improve BP but will not help with acidosis. Choice B with hypertonic saline may help with BP but worsen acidosis. Choice C with normal saline may help with BP but not acidosis. Choice D with Ringer lactate contains some bicarbonate so can help improve BP and acidosis. Choice E with sodium bicarbonate may help the acidosis but not the hypotension.D: Ringer lactate 