robin082006
Forum Hero
Topics: 471
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D, observe and repeat labs after 2 hrs
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| MDcooper
Forum Guru
Topics: 211
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what do u think is happening here?
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| sarika
Forum Guru
Topics: 195
Posts: 1,200
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its acidosis probably gue to muscle break down myogloginemia and myoglobinuria. if im on the rigth track lets give him a.give HCO3 IV bolus to alkalinize his urine
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| Guptashutosh
Forum Elite
Topics: 35
Posts: 354
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metabolic acidosis with respiratory compensation, give iv bolus of bicarb
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| mazinger
Forum Guru
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Wait and repeat labs... I dont think rhabdomyolisis produces a rapid onset of acidosis... It is a consequence of an increased lactic acid production, since there is an increased motor activity and a decreased alveolar ventilation, with lots of anaerobic glycolisis and you know the results...
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original mazinger z
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| MDcooper
Forum Guru
Topics: 211
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well yes mazinger is right.It is lactic acid.I have learned that in qs like these,always calculate anion gap.here it is
140-102+12=140-112=28
so it is anion met acidosis,in this case due to rhabdomyolysis lactic acidosis.UW says this lactic acidosis after a seizure resolves on its own in 72 hrs so we will observe,
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