ccs 40 f forgetful, HA, lethargy and weak - aceace2010

[ArchivalUser]

ER- UNUSUAL CASE NEED YOUR INPUT PLZ???

pulse ox 96%
IV access
focussed PE
Headache and dizziness
unclear etiology

Routine labs
EKG
Card enzymes
urine toxicology
seroum tox
ct head no contrats
seroum osmolality
urine osmolality
UA

MOVE CLOCK
LABS SHOWS ACIDOSIS LOW BICARB

ORDER ABG/ LACTIC ACID

MOVE CLOCK
ACIDOSIS PICTURE, LACTIC ACID NORMAL

VERY UNUSUAL CASE SUSPECT CO POISONING

ORDER CARBOXY HEMOGLOBIN
MOVE CLOCK ELEVATED CABOXY HB

ORDER HYPERBARIC O2 IF AVAILABLE OTHERWISE FACE MASK

TRANSFER TO ICU

[ArchivalUser]

NEED YOUR INPUT

[ArchivalUser]

Depending n how low Ph and conscious level is may need intubation and ventilation.