An 86-year-old man is brought in after a fall and a 14-hour lie on the floor. He is shocked, hypothermic, hypoxic, drowsy, and in rapid atrial fibrillation. His blood results are shown below.
| Test |
Result |
Reference range |
| pH |
7.28 |
7.35-7.45 |
| pCO2 |
45 mmHg |
40-50 |
| HCO3 |
11 mmol/L |
24-32 |
| Base excess |
-6 |
-3 to +3 |
| Sodium |
141 mmol/L |
135-145 |
| Potassium |
7.9 mmol/L |
3.5-5.1 |
| Chloride |
109 mmol/L |
95-110 |
| Glucose |
8.8 mmol/L |
3.5-7.8 |
| Lactate |
3.4 mmol/L |
0.6-2.4 |
| Haemoglobin |
192 g/L |
135-175 |
| Creatinine |
180 micromol/L |
44-97 |
| CK |
18,415 IU/L |
<180 |
| CRP |
178 mg/L |
<5 |
List the four (4) most important diagnoses requiring treatment.
(Marked out of 4.0)
/ 4
State four (4) blood-test findings that support these diagnoses.
(Marked out of 4.0)
/ 4
State two (2) potential benefits and two (2) adverse effects of sodium bicarbonate in this case.
(Marked out of 4.0)
/ 4
Total Score: 0 / 12
Percentage: 0%
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