A 31 yo man was brought to the ED after being found unresponsive. His wife reports he had been having lots of back pain after falling at work and was taking “some pills” for it. She also tells you that he drinks heavily every day, and has no history of illicit drug use. He is intubated in the ICU and on admission his vitals are: T35.5, HR 130, BP 70\/40, RR 36 with O2 sat 100% on TV 500 RR 20 FiO2 40% PEEP 5.<\/p>\n
Labs reveal: Na 140 K5.5 Cl 100 Bicarb 4 Cr 2.4 Lactate 9.8.\u00a0 CBC, LFTs and coags are normal.<\/p>\n
ABG: pO2 90 pCO2 15 pH 6.98\u00a0 CXR is normal.<\/p>\n
Interpret the Acid-Base status of this patient.\u00a0 What additional tests would you order to help identify the toxin?<\/p>\n
Volatile alcohol screen is negative.<\/p>\n
<\/p>\n
Which of the following statements is untrue?<\/p>\n
The toxin is acetaminophen<\/p>\n
This condition may be caused by an autosomal recessive trait<\/p>\n
Treat with fomepizole<\/p>\n
Treat with NAC<\/p>\n
<\/p>\n
See this article: Crit Care Med 2000; 28:1803-1807<\/p>\n","protected":false},"excerpt":{"rendered":"
A 31 yo man was brought to the ED after being found unresponsive. His wife reports he had been having lots of back pain after falling at work and was taking “some pills” for it. She also tells you that he drinks heavily every day, and has no history of illicit drug use. He is […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[96],"tags":[],"class_list":["post-875","post","type-post","status-publish","format-standard","hentry","category-curriculum"],"modified_by":"Jennings","_links":{"self":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/875","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=875"}],"version-history":[{"count":4,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/875\/revisions"}],"predecessor-version":[{"id":879,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/875\/revisions\/879"}],"wp:attachment":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=875"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=875"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=875"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}