65 year old lady with history of progressive supranuclear palsy presented with aspiration pneumonia. Her venous blood gases showed the following:
PH = 7.315
pCO2 = 48 mmHg
pO2 = 48 mmHg
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65 year old lady with history of progressive supranuclear palsy presented with aspiration pneumonia. Her venous blood gases showed the following:
PH = 7.315
pCO2 = 48 mmHg
pO2 = 48 mmHg
A 45-year-old man presents with vomiting and numbness on his fingers . He has CML and he is on chemotherapy. His blood biochemistry showed the following:
Na = 130 mmol/L
K = 6.8 mmol/L
80 year old lady presented with recurrent vomiting after colonoscopy. Her venous blood gases showed the following:
PH = 7.56
pCO2 = 34 mmHg
PH = 7.17
PCO2 = 30
PO2 = 50 mmHg
HCO3 = 14 mmol/L
Na = 123 mmol/L
K = 4.6 mmol/L
Cl = 98 mmol/L
BSL = 3.4 mmol/L
Lactate = 3.4 mmol/L
Cr = 90 umol/L
Questions:
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
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, 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
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)
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