A 10-year-old girl in a rural ED has had vomiting for several days and is now lethargic and difficult to rouse. She opens eyes to painful stimuli.
Observations: afebrile, HR 160, BP 80/60, capillary refill 4 seconds, SpO2 99% room air, RR 40.
VBG: pH 7.06, pCO2 23, pO2 47, HCO3 6, BE -22.4, Na 137, K 4.8, Cl 105, glucose 23, lactate 3.6.
Describe and interpret the gas.
(Marked out of 6.0)
/ 6
Detail your ongoing management of this 10-year-old girl.
(Marked out of 8.0)
/ 8
Total Score: 0 / 14
Percentage: 0%
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