SAQ 1131 – Young adult with severe metabolic derangement

A 20-year-old man presents with 3 days of lethargy and generalised malaise. He is confused and appears unwell.

Venous results: pH 7.08, PCO2 20 mmHg, HCO3 16 mmol/L, BE -22 mmol/L, lactate 9 mmol/L, glucose 44 mmol/L, K 2.7 mmol/L, Na 160 mmol/L, Cl 124 mmol/L, creatinine 70 micromol/L and urea 5.3 mmol/L.

Interpret the results and show any relevant calculations.

(Marked out of 5.0)

/ 5

Outline your immediate management priorities.

(Marked out of 5.0)

/ 5

Total Score: 0 / 10

Percentage: 0%