pulmonary oedema and electrolyte imbalance, both secondary to renal failure
AI-generated summary
Mrs Mulvinskas, a 79-year-old with end-stage renal disease, renal carcinoma, diabetes, and cardiac failure, died from pulmonary oedema and electrolyte imbalance secondary to renal failure. On 21 October 2004, she became aggressive, refused treatment, and was found to be delirious with severe metabolic disturbance and dangerously abnormal electrolytes. Dr Burchard detained her under the Mental Health Act to enable urgent electrolyte correction via IV calcium and potassium. The coroner found the detention and treatment legally appropriate given the life-threatening metabolic emergency and her inability to consent due to delirium. Dr Burchard had considered sedation but appropriately avoided it due to risks in end-stage renal disease. The coroner made no adverse findings, noting doctors face difficult immediate decisions in such circumstances.
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