A 43-year-old woman is transferred to your Intensive Care Unit from a regional hospital following a motor vehicle crash. She is in haemorrhagic shock secondary to abdominal and pelvic trauma and received 3L crystalloid and 8 units O Rh(D) negative blood prior to arrival in your hospital.
Outline your approach to the assessment of nutritional status in a critically ill patient, including the use of appropriate laboratory tests.
Outline methods for diagnosing CMV infection in the critically ill immunocompetent patient.
Questions 1.1 Briefly outline the rationale for the use of hypertonic saline in: Hyponatremia Traumatic brain injury 1.2 List the possible complications of hypertonic saline administration. Answers
7.1. The following image is of the blood sample tubes into which a specimen of blood from a critically ill patient had been drawn by the phlebotomist. (a) What does this image show? (b) List three (3) causes for this…
Critically evaluate the role of the following investigations in the critically ill patient: Serum ammonia; B-type natriuretic peptide (BNP)
Questions 7.1 A 65-year-old male has been brought into the Emergency Department after being found unconscious at home. He has a heart rate of 87 beats/min, a blood pressure of 96/59 mmHg, and temperature of 31.2oC. Below is his biochemical profile…
Questions 22. A 45 year old man was admitted to the intensive care unit after sustaining 40% BSA burns in a house fire. He was transported initially to a local hospital where initial resuscitation was commenced including mechanical ventilation for…
With respect to plasma exchange therapy: What are the physical principles of plasma exchange therapy?
The following blood gases, electrolytes and full blood count relate to a 32-year-old woman post-extubation, following an emergency lower segment Caesarian section at 38 weeks gestation for foetal distress during labour:
The following arterial blood gas and biochemistry results are from a patient with cardiac and respiratory disease and recent profuse vomiting
Discuss the factors that may affect your choice of antimicrobial agent in a critically ill septic patient, giving examples where relevant.