Just add a pinch of salt

Author: Martin Dore/ Editor: Yasmin Sultan / Reviewer: Michael Perry / Codes: / Published: 30/11/2020

A-56-year old patient in your majors department who has presented with lethargy has started a tonic-clonic seizure. You have managed ABC, applied oxygen, gained IV access and given your first dose of IV benzodiazepines. His Blood glucose is 6.8.

As part of your initial assessment a venous blood gas has been run which can be seen below:

  • PH 7.31
  • PCO2 7.2
  • PaO2 6.3
  • Na 109
  • K 4.3
  • Ca 1.25
  • CL 106
  • Lac 8.1
  • HCo3 18.1
  • Hb 123

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