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
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
Answers:
Question 1:
PH = 7.475, that is mild alkalaemia.
pCO2 = 24 mmHg. So, we have respiratory alkalosis.
14-year-old girl, COVID day 2, presented with delirium. Her venous blood gases showed the following:
Ph = 7.475
pCO2 = 24 mmHg
PH = 7.28, that is moderate acidaemia.
PCO2 = 73 mmHg. This means we have respiratory acidosis.
ECG of the Week 28th December 2022 – Interpretation
Answers:
PH = 7.10, that is severe acidaemia.
HCO3 = 11 mmol/L, this means we have metabolic acidosis.
Next, we need to calculate the anion gap and the compensation.
ECG of the week 14th December 2022 – Interpretation
Question 1:
PH = 6.88, that is severe acidaemia
HCO3= 5.3 mmol/L. So, we have metabolic acidosis.
Next step is to calculate the anion gap to know which type of metabolic acidosis and we need to calculate the respiratory compensation.
The following ECG was obtained in a 38 year old Indigenous man with a history of ischaemic cardiomyopathy at a regional hospital. He did not have a history of left bundle branch block previously. Please describe and interpret the ECG.
ECG of the Week 30th November 2022 – Interpretation