SAQ 1454 – Unconscious patient with abnormal blood results

Marked out of 13.00

A 28-year-old woman is brought to the ED after being found unconscious on the floor of her apartment. She was last seen 24 hours earlier.

Some blood results are shown below. Her observations are also shown below.

Test Result Reference range
Na 136 mmol/L 135-145 mmol/L
K 8.4 mmol/L 3.5-5.1 mmol/L
Cl 100 mmol/L 100-110 mmol/L
HCO3 18 mmol/L 22-32 mmol/L
Glucose 7.3 mmol/L 3.0-7.8 mmol/L
Urea 18.0 mmol/L 2.9-8.2 mmol/L
Creatinine 156 umol/L 64-108 umol/L
CK 116000 U/L 46-171 U/L
Observation Value
GCS 8 (E2 V2 M4)
Pulse 100/min
BP 130/70 mmHg
Respiratory rate 20/min
Oxygen saturation 99% on 6 L via Hudson mask
Temperature 37.0 degrees C

State four conclusions from the blood results, with an explanation for the likely cause of each.

(Marked out of 4.0)


/ 4

List four targeted components of your examination, including the relevance of each.

(Marked out of 4.0)


/ 4

State five components of your initial management of this patient.

(Marked out of 5.0)


/ 5

Total Score: 0 / 13

Percentage: 0%