MedBugs: SAQ #361

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Case: Elderly fall with metabolic derangement

An 82-year-old woman has been found on the floor at home following a fall 24 hours prior.

GCS 14
HR 115
HR 85/40
RR 26

SpO@ 98% RA T 34.8 VBG: pH 7.21 pCO2 30 HCO3 15 Na 140 K 8.6 Cl 104 Glucose 48.2 Urea 40.3 Creat 324

1. Interpret the acid-base abnormalities providing formulae for your calculations and the likely cause(s) for each. 4 marks

2. State (3) other abnormalities providing explanation for each. 3 marks

Further assessment reveals no injuries from the fall. You think a UTI has been the cause of the fall.

3. Briefly outline (5) priorities of your initial management. 5 marks

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Case: Elderly fall with metabolic derangement

1. Interpret the acid-base abnormalities providing formulae for your calculations and the likely cause(s) for each. 4 marks

2. State (3) other abnormalities providing explanation for each. 3 marks

3. Briefly outline (5) priorities of your initial management. 5 marks

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