You are the anaesthetist covering the Intensive Care Unit and operating theatres for a rural hospital on a weekend. You are asked to assist in the management of a 55-year-old female brought in by ambulance to the Emergency Department with nausea, vomiting, rigors and fever.
Medications:
- rivaroxaban
- sotalol
Vital Signs:
HR 108, BP 90/40, RR 18, Temp 38.8, SaO2 96% room air, Weight 80 kg
Venous Blood Gas (room air):
FiO2 0.21, pH 7.31, PCO2 30 (4), PO2 45 (6), Hb 150, K 4.8, Na 144, Ca 1.1, Cl 105, HCO3 15, Base excess -10, Lactate 3.6
Sections covered in this viva
Assessment and management of severe metabolic acidosisManagement of ongoing hypotension with inotrope managementHypoxia during CT scan from filter issue