Initial blood investigations are back.
- Hb 84
- plt 70
- wcc 3.4
- Na 136
- K 6.5
- urea 34.5
- creatinine 476
- Ca 2.31
- albumin 26
- ALT 47
- ALP 67
- Bili 27
Any further blood test needed? immediate treatment/investigations?
Pt is catheterised with 20mls residual volume. Fluid challenge of 500mls is given, however blood pressure fails to improve. Repeat BP 76/52, HR 116, SATS 92% on 5L, RR20. ITU are contacted, and will review but currently busy with another emergency. What do you do?
