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GCS Is 6T Still Vent Support Is Also Not High

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Posted on Sun, 31 Jan 2021
Question: GCS is 6T still

Vent support is also not high

Renal: k+ is 5.1 , metabolic acidosis with concomitant resp acidosis

Urine output 800ml/24hrs
NaHCO3 is not available in the country and contraindicated for him since his Na is 160 and on hypernatraemic management.

Anyway,I will evaluate him and see what we can do more

What I am saying is Adrenaline requirement is coming down (from 0.5 to 0.2 mcg/kg/min)


Any advice?
doctor
Answered by Dr. Dr diwashish biswas (41 hours later)
Brief Answer:
Need monitoring

Detailed Answer:
Hello
Welcome To Ask A Doctor Service
I have gone through your question, I understand your concern.
Actually patient needs 8 hourly serum electrolyte monitoring.
Urine out put is low.
Target should be atleast 1500 ml per day.
Other than that, continue previous medication.
I hope your query is clear now.
Thanks and regards
Dr Diwashish biswas
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Dr diwashish biswas (8 hours later)
Unfortunately he passed away today
doctor
Answered by Dr. Dr diwashish biswas (8 hours later)
Brief Answer:
I am sorry to hear about the bad news

Detailed Answer:
May his soul rest in peace
Note: Get 1 to 1 help with your critical health concerns.Click here..

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Dr diwashish biswas

Internal Medicine Specialist

Practicing since :2007

Answered : 1024 Questions

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GCS Is 6T Still Vent Support Is Also Not High

Brief Answer: Need monitoring Detailed Answer: Hello Welcome To Ask A Doctor Service I have gone through your question, I understand your concern. Actually patient needs 8 hourly serum electrolyte monitoring. Urine out put is low. Target should be atleast 1500 ml per day. Other than that, continue previous medication. I hope your query is clear now. Thanks and regards Dr Diwashish biswas