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On arrival in resus, an initial VBG is performed and IV access obtained, with this information, what is the likely cause of the confusion and drowsiness?
(1 mark)
Venous Blood Gas |
|
pH | 7.36 |
pCO2 | 5.6 kPa |
PO2 | 3.4 kPa |
Na | 152 mmol/L |
HCO3- | 20 mmol/L |
BE | 1 mmol/L |
Urea | 9 mmol/L |
Glucose | 48 mmol/L |
Ketones | <1 mmol/L |
Lactate | 1.2 mmol/L |
Calculate the serum osmolality (mOsm/kg) (1 mark)
Venous Blood Gas |
|
pH | 7.36 |
pCO2 | 5.6 kPa |
PO2 | 3.4 kPa |
Na | 152 mmol/L |
HCO3- | 20 mmol/L |
BE | 1 mmol/L |
Urea | 9 mmol/L |
Glucose | 48 mmol/L |
Ketones | <1 mmol/L |
Lactate | 1.2 mmol/L |
Give one treatment that must be started immediately (1/2 Mark) and one other treatment you would consider starting later in the ED. (1/2 Mark)