A 75 year old female is brought to your ED after a motor vehicle collision. She complains of chest pain and is noted to be tachypnoeic and in pain.
Her ABG on 4 litres nasal prongs:
pH 7.22 (7.3-7.44)
pCO2 58 (35-45 mmHg)
pO2 100 mmHg
HCO3 23 (24+/-2 mmol/l)
BE -5
Na 138 (137-145 mmol/l)
K 3.2 (3.5-5 mmol/l)
Cl 101 (99-111 mmol/l)
Creat 107 (<130 umol/l)
Glucose 8.8 (4-6 mmol/l)
Lactate 2.5 (<2 mmol/l)
Questions:
- Describe the 4 important abnormalities
- List 3 causes
- List 4 priorities in her management