SAQ 1984 – Older patient with bradycardia, shock and venous blood gas

Marked out of 12.00

An 82-year-old woman is brought by ambulance to your tertiary ED resuscitation bay after 2 days of vomiting and diarrhoea with confusion.

Background history includes COPD, hypertension and atrial fibrillation. Current vital signs are HR 45, BP 80/40, SpO2 93% on room air, temperature 35.5 degrees C and GCS E4 V4 M6 with pupils 3 mm and reactive.

Her venous blood gas is shown. Her daughter returns with her medication list: tiotropium 18 micrograms daily, digoxin 125 micrograms daily and ramipril 10 mg daily.

Venous blood gas table from the source question — VBG table for SAQ 1984.

List and interpret the main abnormalities seen, including calculations where relevant.

(Marked out of 6.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Abnormality</th> <th>Interpretation/calculation</th> </tr> </thead> <tbody> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> </tbody> </table> <p>

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List the management you would institute, including drug doses and treatment end-points where relevant.

(Marked out of 6.0)

/ 6

Total Score: 0 / 12

Percentage: 0%