A 52-year-old woman on ICU has severe sepsis and is receiving IV balanced crystalloid for resuscitation. After 4 litres over 12 hours, her chloride is...

Question

A 52-year-old woman on ICU has severe sepsis and is receiving IV balanced crystalloid for resuscitation. After 4 litres over 12 hours, her chloride is 118 mmol/L (normal 96-106), sodium 140 mmol/L, bicarbonate 16 mmol/L, and pH 7.24. What is the most likely acid-base disturbance?

Accepted Answer

Hyperchloraemic metabolic acidosis

Answer

Lactic acidosis from ongoing sepsis

Answer

Renal tubular acidosis type 1

Answer

Diabetic ketoacidosis

Answer

Respiratory acidosis

uk-fficm MCQ (SBA): Hyperchloraemic Metabolic Acidosis

A 52-year-old woman on ICU has severe sepsis and is receiving IV balanced crystalloid for resuscitation. After 4 litres over 12 hours, her chloride is 118 mmol/L (normal 96-106), sodium 140 mmol/L, bicarbonate 16 mmol/L, and pH 7.24. What is the most likely acid-base disturbance?