Case Studies Flashcards
1
Q
26 yo, previously healthy
Presented with acute productive cough
Temp 39, pain on inspiration on R side, sats 87, BP89 systolic, RR 32
Not confused
Urea 7.9
ABG: pCO2 6.1, lactate 2.9, base deficit -3.9
How would you manage him?
How would you manage him if he continues to deteriorate despite treatment?
A
ABCDE approach: Oxygen, ax chest expansion, fluids
Bloods (FBC, CRP, U&E etc)
ABG
CXR
Antibiotics - co-amoxiclav + atypical cover (CURB >3)
Worried if lactate >4, base deficit
