56 year old man with background of type 2 DM. Presented after a fall at home. He was presyncopal with blood pressure of 60/50 and pulse rate of 50/ min. (Normal sinus rhythm).
His Arterial blood gases (on 3L Oxygen)showed the following:
PH = 7.12
Lab case 406 interepretation
Answers:
PH = 7.56, that is moderate alkalaemia
HCO3 = 38.4 mmol/L, so we have metabolic alkalosis.
Next, we will calculate the compensation. For metabolic alkalosis we use the following equation:
Imaging Case of the Week 554 Answer
Imaging Case of the Week 553 Answer
The chest x-ray shows Continue reading
Imaging Case of the Week 552 Answer
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Imaging Case of the Week 554
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Lab case 406
An alcoholic man presented to the emergency department after suffering from a seizure. His venous blood gases showed the following:
PH = 7.56
pCO2 = 42 mmHg
Lab case 405 interepretation
Answers:
PH = 7.30, that is mild acidaemia.
pCO2 = 65 mmHg. So, we have respiratory acidosis.
Next, we need to look at the compensation. Compensation for respiratory acidosis is different between acute and chronic cases.
Imaging Case of the Week 553
The following chest x-rays are from a young adult with chest pain. What can be seen? Continue reading
Rocuronium ≤1.5 mg/kg versus >1.5 mg/kg and inadequate paralysis in prehospital and retrieval intubation: A retrospective study Clare Hayes-Bradley MBBS
Rocuronium ≤1.5 mg/kg versus >1.5 mg/kg and inadequate paralysis in prehospital and retrieval intubation: A retrospective study
Clare Hayes-Bradley MBBS, BSc, Madelaine Tarrant MBChB, BSc
First published: 01 June 2022
https://doi.org/10.1111/1742-6723.14008
Findings
High dose Rocuronium leads to lower rates of inadequate relaxation Continue reading