A 10 year old girl presents with likely DKA (her ketones were in fact 7). Continue reading
Elderly male from nursing home presents critically unwell with severe hypernatraemia following a seizure.
1. Seizure and altered mental state – secondary to high sodium, intracranial haemorrhage, other.
2. Tachycardia and low blood pressure for age – shock, large fluid deficit
3. Life threatening hypernatraemia
4. Possible end of life situation Continue reading