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MODULE 23: paediatrics iI
OK, more paediatrics! You have a heap of videos to watch from last time, so we have spared you more uploads this week.
watch.
READ
Again, there was quite a lot to read and we assume you are all still catching up a bit. So, no extra stuff this time - just do the basics well.
solve.
OK. Here's one for the road.
A 6 year old boy presents to your department with the ambulance after a seven minute seizure. He is still fitting when he arrives in resus. His distraught mother accompanies him into the resuscitation room.
His prior vital signs with the ambulance include a temperature of 39.6oC.
Access is obtained and an urgent venous gas is obtained.
pH 7.11
pCO2 26 mmHg
pO2 54 mmHg
HCO3- 7 mmol/L
Na+ 140 mmol/L
Cl- 104 mmol/L
Glucose 1.7 mmol/L
Lactate 10.6 mmol/L
Question 1.
Describe the major acid-base disturbances present and give a differential for each.
Question 2.
Outline 3 management priorities you will act upon in this situation.
Question 3.
Describe three treatments you could administer to terminate the seizure, including the dose appropriate for this patient.
A 6 year old boy presents to your department with the ambulance after a seven minute seizure. He is still fitting when he arrives in resus. His distraught mother accompanies him into the resuscitation room.
His prior vital signs with the ambulance include a temperature of 39.6oC.
Access is obtained and an urgent venous gas is obtained.
pH 7.11
pCO2 26 mmHg
pO2 54 mmHg
HCO3- 7 mmol/L
Na+ 140 mmol/L
Cl- 104 mmol/L
Glucose 1.7 mmol/L
Lactate 10.6 mmol/L
Question 1.
Describe the major acid-base disturbances present and give a differential for each.
Question 2.
Outline 3 management priorities you will act upon in this situation.
Question 3.
Describe three treatments you could administer to terminate the seizure, including the dose appropriate for this patient.
write.
OK, you all should be really in the thick of your preparation now. So, no homework this time as an extra burden. Get on with your revision, and let us know of any issues via the twitter feed or facebook.