A 69-year-old man is brought to the ED after an overdose of an unknown quantity of quetiapine and diazepam. He was found on the floor of his apartment by his landlord.
Because of reduced consciousness, he has been intubated. His blood results are shown below.
| Test |
Result |
Reference range |
| Sodium |
136 mmol/L |
135-145 mmol/L |
| Potassium |
8.3 mmol/L |
3.5-5.1 mmol/L |
| Chloride |
101 mmol/L |
100-110 mmol/L |
| Bicarbonate |
16 mmol/L |
22-32 mmol/L |
| Urea |
15 mmol/L |
2.9-8.2 mmol/L |
| Creatinine |
285 micromol/L |
64-108 micromol/L |
| Glucose |
7.3 mmol/L |
3.0-7.8 mmol/L |
List the abnormalities on the blood results, giving likely possible causes of each abnormality.
(Marked out of 6.0)
/ 6
What is the most likely clinical scenario responsible for this blood picture?
(Marked out of 2.0)
/ 2
List your management steps for his hyperkalaemia. Give doses.
(Marked out of 4.0)
/ 4
Total Score: 0 / 12
Percentage: 0%
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