56 year old man with background of type 2 DM. Presented after a fall at home. He was presyncopal with blood pressure of 60/50 and pulse rate of 50/ min. (Normal sinus rhythm).
His Arterial blood gases (on 3L Oxygen)showed the following:
PH = 7.12
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Lab case 406
An alcoholic man presented to the emergency department after suffering from a seizure. His venous blood gases showed the following:
PH = 7.56
pCO2 = 42 mmHg
Rocuronium ≤1.5 mg/kg versus >1.5 mg/kg and inadequate paralysis in prehospital and retrieval intubation: A retrospective study Clare Hayes-Bradley MBBS
Rocuronium ≤1.5 mg/kg versus >1.5 mg/kg and inadequate paralysis in prehospital and retrieval intubation: A retrospective study
Clare Hayes-Bradley MBBS, BSc, Madelaine Tarrant MBChB, BSc
First published: 01 June 2022
https://doi.org/10.1111/1742-6723.14008
Findings
High dose Rocuronium leads to lower rates of inadequate relaxation Continue reading
Lab case 396 interpretation
Question 1:
PH = 7.30 that is mild acidaemia.
HCO3 = 16 mmol/L (>24) so we have metabolic acidosis.
Next, we need to calculate the anion gap and the compensation (using Winter’s formula)
Lab case 396
61-year-old man presented to ED with hypoglycemia that was difficult to correct with oral and IV dextrose. His venous blood gases showed the following.
PH = 7.30
PCO2 = 33 mmol/L
Lab case 395
72 year old man with history of COPD presented with shortness of breath. His chest auscultation revealed bilateral wheezes.
His arterial blood gas on 40% O2 showed the following:
PH = 7.29
PCO2 = 60 mmHg
Lab case 394 Interpretation
Answers:
Question 1:
PH = 7.475, that is mild alkalaemia.
pCO2 = 24 mmHg. So, we have respiratory alkalosis.
Lab case 394
14-year-old girl, COVID day 2, presented with delirium. Her venous blood gases showed the following:
Ph = 7.475
pCO2 = 24 mmHg
Lab case 393 interepretation
PH = 7.28, that is moderate acidaemia.
PCO2 = 73 mmHg. This means we have respiratory acidosis.
ECG of the Week 28th December 2022 – Interpretation
ECG of the Week 28th December 2022 – Interpretation