Case 3
A 23-year-old man is a pre-alert by the paramedics. He is a known alcoholic and has been found unconscious by his partner, who phoned for the ambulance.
Within the previous 12 hours he had met with friends and binged heavily on spirits – his partner estimated he had drunk at least three bottles of vodka. He had since been vomiting profusely – there is no sign of aspiration.
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Question 1 of 2
1. Question
From the observational data shown below, calculate the value of the anion gap and enter your answer into the text box below.
Observations: An ABG shows: - Pulse 105 bpm regular
- BP 88/65
- Respiratory rate 22
- Saturations 96% on air
- Temperature 34.2°c
- GCS 12 (confused and very drowsy)
- pH 7.376
- pO2 12.92
- pCO2 3.40
- bicarbonate 14.6
- BE -8.9
- sodium 142
- potassium 3.50
- chloride 96
- lactate 3.8
- glucose 2.6
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Question 2 of 2
2. Question
For the same patient, which of the following options best describes the most likely acid-base disturbance?
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