A 22-year-old woman is brought by ambulance after status epilepticus following probable drug ingestion at a college party. The seizure has just been terminated by paramedics after a second dose of IV midazolam. She is haemodynamically stable but drowsy. ECG shows sinus tachycardia. ABG: pH 7.1, pO2 110, pCO2 40, HCO3 10, Na 118, K 5.4, glucose 9 and lactate 12.
List five causes of seizure in this patient.
(Marked out of 5.0)
/ 5
Describe and explain three important blood gas findings.
(Marked out of 3.0)
/ 3
She starts seizing again. What is your next treatment option and treatment target?
(Marked out of 2.0)
/ 2
You suspect SIADH. What investigation results would help confirm this?
(Marked out of 3.0)
/ 3
What likely drug or class of drug might she have ingested?
(Marked out of 1.0)
/ 1
Give five organ systems that can be affected by use of this drug/class.
(Marked out of 6.0)
/ 6
Total Score: 0 / 20
Percentage: 0%
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