A normally well 24-year-old man is brought to the ED with increasing confusion and a seizure.
His blood gas shows: pH 7.31, PCO2 51 mmHg, HCO3 22 mmol/L, sodium 109 mmol/L, potassium 4.1 mmol/L, chloride 91 mmol/L and glucose 10 mmol/L.
Detail the specific emergency treatment required and provide treatment aims/endpoints.
(Marked out of 3.0)
/ 3
List three (3) risk factors for osmotic demyelination syndrome and briefly explain each.
(Marked out of 6.0)
/ 6
Hypertonic saline is also used for raised ICP in traumatic brain injury. What dose/regimen would you use and what endpoints would guide therapy?
(Marked out of 4.0)
/ 4
Briefly outline the advantages and disadvantages of hypertonic saline compared with mannitol in TBI.
(Marked out of 3.0)
/ 3
Total Score: 0 / 16
Percentage: 0%
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