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PATIENTFALLS: 70-årig man med FF, hjärtsvikt och KOL. B: Fått infarkt för 15 år sen, stabil angia efteråt. Har läkemedel för dessa.A: Successivt tilltagande dyspné. Inkommer med ambulans, får 10L syrgas. På akuten mycket trött och svarar ej på tilltal.Status: Takypné, takykard, rhonki och rassel bilat.Lab: ↓Hb, CRP 78, ↓Na+, ↑K+, ↑Krea, ↑P-glukos. Troponin u.a.Blodgas: pH 7.2, ↑pCO2, ↓pO2, BE +7EKG: FF 140/min, ST-sänkningar i V4-V6.a) Tolka blodgasen.b) Misstänkt diagnos?c) Handläggning på akuten?d) Behandling?
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