A 35 year old man is brought to your Emergency Department by ambulance following a suicide attempt. His wife found him in his car with the engine running at 7.30 am, he had connected a hose from his exhaust into the car. He was last seen at 7 am that same morning.
On examination :
GCS 14
BP 150/90
PR 99/min
Sats 97 – NP 4litres
Describe and Interpret his ABG ( after 5 minutes of 15 litres oxygen via non rebreather)
pH 7.40 (7.36-7.44) Na 140 (134-146)
pCO2 44 (35-45 mmHg) K 3.6 (3.4-5.5) pO2 362 Cl 107 (95-108) HCO3 27 (24+-2) base excess 2 Sats 100 Lactate 2.5 Glucose 9.4 COHb 28.5% MetHb 0.9%Describe your management