Case 18 – update 2

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?

About TeamHaem

Online education and discussion about all things haematological
This entry was posted in Lymphoma. Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )


Connecting to %s