Author: Dale Kirkwood / Editor: Yasmin Sultan / Reviewer: Abdullah Rana / Codes: / Published: 31/03/2021
A 39-year-old female presents to the emergency department (ED) with profuse vomiting, muscle aches and fever for 5 days. She has been self-medicating with lemsip and paracetamol.
Observations on arrival are
Heart rate: 103 beats per minute
Blood pressure: 109/78mmHg
Respiratory rate: 20 breaths per minute
Temperature: 38.7
Oxygen saturations 96% on room air
Glasgow Coma Scale: 15/15
Venous Blood Gas
- pH 7.29
- Pa02 11
- PaCO2 4.3
- HCO3 12
- Na+ 135
- K+ 5.1
- Cl- 96
- BE -14
- Lactate 17
- Glucose 3.8
