Causes, treatment an complications of a metabolically deranged critically ill patient.
CICM SAQ 2009.2 Q15
October 25, 2011 by Leave a Comment
Blood gas and laboratory data interpretation: metabolic acidosis, HAGMA, high anion gap, apnea test
Laboratory Tester #004
May 4, 2010 by Leave a Comment
Acute hepatitis with jaundice and coagulopathy without hepatic encephalopathy is referred to as severe acute hepatitis. Fulminant hepatic failure is defined as the appearance of hepatic encephalopathy in a patient with acute deterioration of liver function with no previous history of liver disease.
Staph sepsis and an unsual metabolic acidosis
February 2, 2010 by Leave a Comment
You are asked to review a 73 year old lady who is in hospital for treatment of septic arthritis affecting a prosthetic right hip joint inserted 5 years earlier. The joint has been washed out and debrided twice, and she is receiving IV flucloxacillin and meropenem following culture of a methicillin-sensitive Staphylococcus aureus. She is on regular paracetamol for pain. Unfortunately, she has continued to deteriorate…
Metabolic mayhem post-subacrachnoid hemorrhage
January 15, 2010 by 3 Comments
An 87 year old female presented with a subarachnoid haemorrhage. GCS 8/15. A nasogastric tube was unable to be placed due to patient agitation. As a consequence, the patient was fasted for five days due to concern about swallowing. Can you figure out her acid-base disturbance?
