SadCrit
@schistosomnia.bsky.social
Failing anaesthetist / ICU - now in Registrar flavour. 🏴🇮🇳. 🧠🌶️ 🏳🌈🏳️⚧️ ;
If it has 150mmol of Na and HCO3-, it will have an osmo pretty close to plasma, yes. But if after a few minutes of being infused the HCO3.has been exhaled as CO2, then it's not going to be existing as an effective osmole still is it?
November 22, 2025 at 6:47 AM
If it has 150mmol of Na and HCO3-, it will have an osmo pretty close to plasma, yes. But if after a few minutes of being infused the HCO3.has been exhaled as CO2, then it's not going to be existing as an effective osmole still is it?
Oh she also had a K of 9
November 14, 2025 at 11:37 PM
Oh she also had a K of 9
She did get bicarb!
November 14, 2025 at 4:24 PM
She did get bicarb!
Fascinating, thank you
November 14, 2025 at 4:21 PM
Fascinating, thank you
Or to quote my consultant "It's 3am why are you asking me this?"
November 14, 2025 at 11:13 AM
Or to quote my consultant "It's 3am why are you asking me this?"
So do chronically hypercapnic patients have permanently dilated vessels on their heads? Or do they somehow get used to the hypercapnia, and have normal calibre vessels at raised pCO2? If that were the case, then shooting for a normal CO2 would lead to vasoconstriction?
November 14, 2025 at 11:12 AM
So do chronically hypercapnic patients have permanently dilated vessels on their heads? Or do they somehow get used to the hypercapnia, and have normal calibre vessels at raised pCO2? If that were the case, then shooting for a normal CO2 would lead to vasoconstriction?
I strongly feel like my learning is enhanced by gifs
November 13, 2025 at 10:28 PM
I strongly feel like my learning is enhanced by gifs
About 7.0something, BE -24
November 13, 2025 at 8:45 PM
About 7.0something, BE -24
A case from a little while ago, she was 19 with a glucose of >100 mmol/L, GCS 3
November 13, 2025 at 5:45 PM
A case from a little while ago, she was 19 with a glucose of >100 mmol/L, GCS 3
My unit has this as policy!
Doctor the norad is at 0.5, you need to prescribe vasopressin
Doctor the norad is at 0.5, you need to prescribe vasopressin
November 13, 2025 at 2:35 PM
My unit has this as policy!
Doctor the norad is at 0.5, you need to prescribe vasopressin
Doctor the norad is at 0.5, you need to prescribe vasopressin
Wouldn't call it a blockbuster exactly. Was just casually browsing the NAVIGATE trial from earlier this year (which had a reasonable number of CAP patients)
November 11, 2025 at 9:28 PM
Wouldn't call it a blockbuster exactly. Was just casually browsing the NAVIGATE trial from earlier this year (which had a reasonable number of CAP patients)
Will acidosis prolong my PT / aPTT?
November 7, 2025 at 7:54 PM
Will acidosis prolong my PT / aPTT?
I'd better write that down - can I borrow a pen?
November 7, 2025 at 7:53 PM
I'd better write that down - can I borrow a pen?
I love the completely clear mero row in the second link
November 6, 2025 at 8:48 PM
I love the completely clear mero row in the second link
The Swan Problem - what use is a number if you don't know what that number should be?
November 6, 2025 at 7:03 PM
The Swan Problem - what use is a number if you don't know what that number should be?
What route and doses?
November 6, 2025 at 7:01 PM
What route and doses?