CICM SAQ 2011.2 Q3

Questions

3.1 A 70-year-old, 42kg female with chronic renal failure, Type 2 diabetes and a history of alcohol abuse was admitted for management of leg ulcers infected with MSSA. Ten days into her admission she became increasingly short of breath and was referred to ICU.

  • a) Describe this acid-base picture
  • b) Give three possible causes

3.2 These results are from the arterial blood gas report of a 41-year-old female ventilated in ICU for three weeks with H1N1 influenza and ARDS

  • a)  Describe the abnormalities in the blood gas report.
  • b)  What is the likely cause of the acid-base disturbance?

3.3 A 26-year-old man with a history of solvent abuse presents to the Emergency Department

  • a) Describe the acid-base disturbance
  • b) What is the likely cause of the acid-base disturbance?
Exams LITFL ACEM 700

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CICM

Chris is an Intensivist and ECMO specialist at The Alfred ICU, where he is Deputy Director (Education). He is a Clinical Adjunct Associate Professor at Monash University, the Lead for the  Clinician Educator Incubator programme, and a CICM First Part Examiner.

He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives. He was one of the founders of the FOAM movement (Free Open-Access Medical education) has been recognised for his contributions to education with awards from ANZICS, ANZAHPE, and ACEM.

His one great achievement is being the father of three amazing children.

On Bluesky, he is @precordialthump.bsky.social and on the site that Elon has screwed up, he is @precordialthump.

| INTENSIVE | RAGE | Resuscitology | SMACC

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