A 30 y.o male was brought in by the ambulance after an MVC vs pole. The patient is agitated, sweating, and combative. He has slurred speech and pinpoint pupils. He is hypoxic and tachycardic. Paramedics reported that he was the driver and was restrained. Airbags deployed and the passenger died on the scene. Past medical hx is unknown. Pt is intubated and sedated due to hypoxia and agitation.
His labs and vitals are significant for:
↑ WBC
↓ RBC
↓ Hgb
↓ Hct
↑ LFT’s
↑ BP
Tachycardic
Tachypneic
↑ Temperature

1. What are your thoughts on this patient’s diagnosis?
a. Metabolic Acidosis
b. Sepsis
c. Drug Abuse
d. Tuberculosis
e. CHF
f. Anemia
g. Hepatic Failure
h. CKD

2. What other labs would you order for this patient?
a. Urinalysis
b. Toxicology screen
c. BNP
d. Blood culture
e. Arterial Blood Gas
f. Sputum Culture
g. Full Chemistry panel