If a sodium citrate tube is "underfilled," what can happen?

You are treating a young child whom you suspect may be a victim of abuse. As you are examining him, you notice bruises of various colors on his back and legs. He is conscious and vitally stable with no immediate life threats. What should you do?

A) Call law enforcement and have them take the parents into custody. B) Advise the parents that you will notify law enforcement of your findings. C) Transport the child for further evaluation by professionals at the ED. D) Be careful to not record your suspicions in your patient care report.

An ICU patient in septic shock shows the following electrolyte panel results: a serum Na+ of 150 mmol/L, a total CO2 of 18 mmol/L, lactate of 4 mmol/L, and a serum Cl– level of 110 mmol/L

The patient is hypotensive and the RT is unable to obtain an ABG for analysis. What conclu-sion(s) can be drawn regarding this patient's acid-base status? 1. The anion gap is decreased. 2. Metabolic acidosis is present. 3. Anion gap is increased. 4. Lactic acidosis is present. a. 1, 2, and 4 only b. 1 only c. 2 and 4 only d. 2, 3, and 4 only