Seriously, Not Another Protocol? (EBM)

Author: Dale Kirkwood / Editor: Yasmin Sultan  / Codes: Published: 31/03/2021

39-year-old female presents to the Covid resuscitation room 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% in 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

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