An 80 year old women with severe anaemia secondary to GI bleed
Severe anaemia requiring urgent blood transfusion, correction of coagulopathy, referral to gastroenterology.
Mixed chronic respiratory acidosis and acute (NAGMA)metabolic acidosis.
acute on chronic renal failure
Normal lactate/ glucose
limits of care – how far do you go?
advanced health directives
Referral to appropriate service for intervention