The SHO/F2 decides to...
- Prescribe a further bag of 1L of Hartmanns to go over 30 mins
- Repeat Arterial Blood Gas [view result]
- Discuss possible sources of infection
- Catheterised - urine output residual of 50mls
- Urinalysis [view result]
- Chest x-ray
- Examine extent of oedema – legs no more oedematous or redder than normal, abdomen soft non-tender
- Gain medical history (finish clerking) and calls registrar to develop the plan further
Blood Gas Result
Arterial Sample
Time: 20:33
| pH | 7.1 |
| pCO2 | 3.0 kPa |
| pO2 | 10 kPa |
| HCO3 | 14 mmols/L |
| Lactate | 4.4 mmols/L |
Normal Values
| pH | 7.35-7.45 |
| pCO2 | 3.5-5.0 kPa |
| pO2 | 10.6-13.3 kPa |
| HCO3 | 24-32 mmols/L |
| Lactate | 0.5-1.6 mmols/L |
Urinalysis Result
Dipstick
Time: 20:45
| Blood | ++ |
| Protein | +++ |
Possible urosepsis - sent to lab
