© SICS 2005-2023. Scottish Intensive Care Society SCIO registered in Scotland charity number SC050112
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A 56-year-old hypertensive smoker is admitted with a 4 day history of breathlessness, chest pain, cough, dirty sputum and general malaise. He has had no previous hospital admissions. His medications are ramipril, atenolol and salbutamol inhaler. He weighs 75kg.
He is talking in short sentences, but is confused and has a respiratory rate of 30 breaths/minute. His SpO2 is 85% on 6 l/minute O2. He has left basal crackles. His BP is 104/45mmHg, HR 120 beats/min, sinus tachycardia. His capillary refill time is 4 seconds.
Investigation results
Na 141, K 4.8, Cl 110, Urea 14.6, Creat 145
Hb 14.8, WCC 16, platelets 156
His CXR shows left basal infiltrates.
PaO2 6.8kPa, PaCO2 6.9, HCO3 26, H+54
© SICS 2005-2023. Scottish Intensive Care Society SCIO registered in Scotland charity number SC050112