This is a 3 month old (weight 5kg) critically unwell child who requires resuscitation with concomitant assessment to determine the cause of her illness.
Her clinical picture is one of severe dehydration (at least 7%) Continue reading
Tag Archives: Pre renal failure
Lab Case 22 – Interpretation
Elderly male from nursing home presents critically unwell with severe hypernatraemia following a seizure.
Issues:
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