A 32-year-old male smoker is brought by ambulance to a tertiary emergency department after a fire at his metal-cleaning and reclaiming shop. He has a fluctuating level of consciousness. There is no airway compromise, burns, or other major injury.
His current examination and venous blood gas are shown below.
| Observation |
Result |
| GCS |
13 (E4 M5 V4) |
| BP |
88/55 mmHg |
| HR |
130 bpm |
| Temperature |
36.5 degrees C |
| RR |
10 /min |
| O2 saturation |
96% on O2 6 L/min via face mask |
| pH |
7.18 (7.32-7.42) |
| pCO2 |
45 mmHg (41-51) |
| pO2 |
90 mmHg |
| COHb |
18% |
| HCO3 |
12 mmol/L (24-32) |
| Na |
145 mmol/L (135-145) |
| K |
4.8 mmol/L (3-5) |
| Cl |
107 mmol/L (95-107) |
| Glucose |
10.8 mmol/L (3-10) |
| Lactate |
16 mmol/L (0.5-2) |
List three (3) important abnormalities and state one (1) significance for each.
(Marked out of 6.0)
/ 6
Provide two (2) calculations that will assist your diagnostic process and state how each contributes to the diagnosis.
(Marked out of 4.0)
/ 4
List the two (2) most clinically important differential diagnoses.
(Marked out of 2.0)
/ 2
Total Score: 0 / 12
Percentage: 0%
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