Author: Sobia Akhtar / Editor: Steve Corry-Bass / Reviewer: Emer Kidney / Codes: EnP1, NepC3, RP7, SLO3 / Published: 03/07/2019
You see a 20-year-old student in resus with vomiting. She is drowsy and incoherent so you are unable to get much information. You notice a Medic-Alert bracelet on her wrist that reads ‘Addison’s Disease’.
She is hypotensive (85/60), and tachycardic (120). Temperature and oxygen saturations are normal. She remains hypotensive despite fluid resuscitation. You suspect she is in adrenal crisis.
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Question 1 of 3
1. Question
What treatment do you now need to administer?
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2. Question
This is the patient’s ECG. What electrolyte abnormality on blood gas analysis is most likely responsible for this?
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3. Question
You review the patient’s blood results and notice the serum potassium is 6.3. How would you manage this?
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