Her medications include vancomycin, meropenem, heparin, and pantoprazole.
ICU Day |
1 |
5 |
7 |
10 |
Hb (g/dL) |
105 |
95 |
90 |
91 |
Platelets |
125 |
98 |
20 |
8 |
WCC |
11 |
10 |
8 |
9 |
List the most likely causes of her thrombocytopaenia.
Outline your management of her thrombocytopaenia
What tests would you perform to determine aetiology? Briefly outline the features of them.
On Day 10 the patient becomes tachypnoeic with abdominal tenderness. Current medications are meropenem, pantoprazole, noradrenaline, fentanyl and midazolam infusions. The following results and ECG are available;
pH |
Lactate |
HCO3 |
PaCO2 |
7.23 |
14 mmol/L |
18 mol/L |
28 mmHg |
Platelets |
WCC |
Hb |
INR |
10 |
7 |
80 |
1.4 |
- Describe the abnormalities on the blood results
- Comment on the ECG
- What are the likely causes of the acid-base abnormality
What are the arguments for and against anticoagulation in this case?
