3. 62y man with massive epistaxis

A 62-year-old patient without chronic therapy and follow-up comes with massive epistaxis. The bleeding is now treated with a tamponade - now he does not bleed. The patient is fully conscious with GCS 4-5-6 oriented by place and time, circulatory and ventilation-stable BP 130/80torr P 65/min., normopnoea, SpO2 100% air, diuresis quantitatively normal (according to the amount stated by the patient).

Včera Včera Datum odběru Pozn k odběru Pigmenty Enzymy p 'S -AST p 'S -ALT p 'S -ALP 137 145 137 145 1,15-13 275 - 285 275 - 285 Včera 0,58 0,43 Včera Včera 1 s:os Včera pred HD Včera p020min Včera 42.0 832 JOS 0.08 132 Vývoi Močovina:o 0,58 0,48 9.51 79.3 1 335 0,05 0.05 128 344 Normály 25 0-1,5 Sacharidový metab_ P'S--GIukóza 8--GIukóza 8--GIukóza POCT Dusíkaté látky P/S--Močovina P/S--Kreatinin Odhad glomerulární qS--GF-MDRD qS--GF-kreatinin Bílkoviny P /S bílkovina P/S--AIbumin p /s __cRp Minerály P'S--S0dík P'S--DrasIík P 'S --Chloridy qS--CI koriu 8--S0dík 8--DrasIík 8--Ca ioniz P'S--Vápník P'S--H0řčik Osmolalita P/S--OsmoIaIita qS--OsmoL výpočet QS --0 srn efekt -výu 8.33 2.80 125 120 68.9 0,08 0.05 602 31 .o 126 120 1.07 2,20 2.46 1.45 343 329 0.37 1.93 318 Jednotky umoVI mmoVI mmoVI mmoVI mmoVI mmoVI mmoVI umoVI mmoVI mmoVI mmoVI mmoVI mmoVI mmoVI mmoVI mmoVI mmoVI mmoVI mmoVkg mmoVkg mmoVkg

Questions

  1. Acid-base balance: what is the disorder -> cause -> treatment?
  2. Why does he have a high value of calculated osmolality?
  3. What type of anemia do you see? What is the cause?
  4. Explain the changes in Ca2+ values in RRT citrate samples?