Renal Endocrine Metabolic
SAQ 5
A 73 year old female is brought to ED
GCS 12
BP 100/70
PR 72
O2sats 97%
RR 10
Her ABG is as follows:
pH 7.35
pCO2 50
HCO3 24
pO2 113
Na 137
K 4.6
Cl 98
Glucose 72
Urea 28.7
1. What is the primary diagnosis?(2)
2. What parameters would you use to decide ICU disposition? (3)
3. Name six key management priorities? (4)
4. After 4hours repeat bloods show Na 113 and Glucose of 60, what fluid should be used for
ongoing maintenance? (1)
Renal/ Endocrine SAQ 6
A 35 year old man with a past history of Type I Diabetes presents with a two day history of
diarrhoea and vomiting.
His BSL on arrival is 40 mmol/L.
His observations are GCS 15/15, HR 120 per min, RR 32 per min, BP 100/70 mmHg, SpO2
99% on room air and temperature 37 degrees C
1. After administration of N Saline (0.9%) an arterial gas analysis reveals a serum Potassium of
5.1mmol. Describe how you will manage his serum potassium level over the next three
hours (3)
2. List four possible complications of this man’s condition (3)
3. Discuss the utility of an arterial line in this patient (4)