Case Study: Acid Base Syndrome Case Study
Alistair Adams 213091062
Diagnostics
BEMC 2 Case Study:
Acid/Base disturbance
Mr B de Waal
Abstract The following case shows a good example of an acid-base disorder and also an acute renal failure due to a UTI. This case shows how these two disorders co-exist and compound each other’s affect as they are connected in terms of function. This is not the first report of this kind in literature. The patient is a 67 year old female with Known poorly managed type 2 diabetes. She also has chronic hypertension and is on chronic medication. The patient also has recurrent urinary tract infections. This case should provide a better understanding of how these conditions coexist and what their effects are as well as how management of these conditions should be approached which will help advance our knowledge in the pre-hospital setting. It may provide important information on how these conditions overlap and interlink with each other. It may also provide important information on the endocrine system which will help in that specific field of medicine.
Introduction A change in homeostatic conditions will result in a long term and short term compensatory response to try and return conditions
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Fluid replacement should also be commenced if the patient is dehydrated. Insulin should be given which will help regulate blood glucose levels. Fluid therapy in this patient is important and should be carefully monitored. Dextrose should also be administered because the insulin correction will result in tissues using more glucose which will drop the glucose levels in the blood stream again. Treatment of the acute renal failure may be corrected by correcting the UTI in the patient which may resolve the acute renal failure. Antibiotic therapy is used to do this which may resolve the possible pyelonephritis in the patient as well which will help with the renal
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