A 32-year-old man is brought in with altered level of consciousness after being well earlier in the day. He has no known medical history and takes no regular medications. A venous blood gas is shown below.
| Observation |
Value |
| Temperature |
37.2 C |
| Heart rate |
126/min |
| Blood pressure |
110/72 mmHg |
| Respiratory rate |
30/min |
| GCS |
7 (E1 V2 M4) |
| Oxygen saturation |
100% on room air |
| Test |
Result |
| pH |
7.09 |
| pO2 |
32 |
| pCO2 |
18 |
| HCO3 |
7 |
| Na |
134 |
| K |
6.2 |
| Cl |
98 |
| Ionised calcium |
1.02 |
| Lactate |
5.1 |
| Glucose |
8.1 |
| Creatinine |
67 |
| Urea |
8.0 |
| Hb |
143 |
| Measured osmolality |
307 |
Interpret the venous blood gas, including relevant calculations.
(Marked out of 8.0)
/ 8
State the most likely diagnosis.
(Marked out of 1.0)
/ 1
Name two (2) physiological factors that may complicate RSI and give a modification for each.
(Marked out of 4.0)
| Physiological factor |
RSI modification |
|
|
|
|
/ 4
Outline four (4) management priorities.
(Marked out of 4.0)
/ 4
List four (4) indications for enhanced elimination.
(Marked out of 4.0)
/ 4
Total Score: 0 / 21
Percentage: 0%
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