The following laboratory results were returned in a 6 week old boy admitted with 6 days of severe pr

Discussion in 'MRCPCH forum' started by samuel, Sep 25, 2014.

  1. samuel

    samuel New Member

    The following laboratory results were returned in a 6 week old boy admitted with 6 days of severe projectile vomiting:
    pH 7.51 (7.35-7.45)
    PO2 12 KPa (95 mmHg)
    PCO2 4.7 KPa (35 mmHg)
    Blood Urea 11 mmol/l
    Sodium 131 mmol/l
    Potassium 3 mmol/l
    Chloride 83 mmol/l
    Which of the following is true concerning this patient?

    1 ) He has respiratory alkalosis
    2 ) He is likely to have a bulging anterior fontanelle
    3 ) He should be resuscitated immediately with normal saline
    4 ) He should be commenced immediately on half strength soy protein, low lactose formula
    5 ) X-ray of abdomen is likely to show dilated loops of small bowel

Share This Page