A 48-year-old woman presents after two days of vomiting. She is confused and cannot provide a clear history. Her examination and venous blood gas are shown below.
| Observation |
Result |
| BP |
100/82 mmHg |
| HR |
144 bpm |
| Temperature |
36.5 degrees C |
| RR |
24 /min |
| O2 saturation |
98% room air |
| GCS |
13 (E4 M5 V4) |
| pH |
7.38 (7.35-7.45) |
| pCO2 |
36 mmHg (35-45) |
| HCO3 |
21 mmol/L (22-26) |
| Base excess |
-3 (-1 to 1) |
| Lactate |
3.3 mmol/L (0-2) |
| Glucose |
22 mmol/L (3-6.5) |
| Na |
129 mmol/L (135-145) |
| Cl |
79 mmol/L |
Provide two (2) calculations to assist with interpretation of these investigations.
(Marked out of 2.0)
/ 2
State your interpretation of the results, including three (3) points.
(Marked out of 3.0)
/ 3
State three (3) initial treatments, including aims where appropriate.
(Marked out of 3.0)
/ 3
Total Score: 0 / 8
Percentage: 0%
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