Author: Susan Uí Bhroin / Editor: Fiona Mendes / Codes: EnC1, EnP1, RP7, SLO3Published: 01/07/2021

A 43-year-old man presents to the emergency department feeling generally unwell. He has been vomiting. He complains of abdominal pain, dizziness and feels disorientated.

He has a background of Addison’s disease and recently tested positive for Covid-19.

His observations are as follows:

  • Temperature: 38.3 degrees Celsius
  • Heart rate: 126 beats per minute
  • Blood pressure: 78/43 mmHg
  • Respiratory rate: 24 breaths per minute
  • Oxygen saturations: 95% breathing room air