John Bielinski, MS PA-C Case
A 56 yo homeless man is found poorly responsive and brought via EMS to ED. No old records.
VS: T 99.4R HR 122 RR 24 BP 110/48 and So2 of 94% RA
What problems can you identify from the labs and how do you work this up?
Solution
Problems:
- Hyponatremia
- Hyperkalemia
- Bicarb < 5
- Elevated renal function
- Elevated LFT (Alk phos, GGT, AST/ALT and elevated Bilirubin)
