Lab Case 349

A 65 year old female is brought to ED via ambulance on a priority 1. According to the paramedics the patient has taken an overdose of benzodiazepines and alcohol. Her GCS is 3 and the team is preparing to intubate the patient. The following ECG is obtained prior to intubation:

pH 7.31                               Na 148 mmol/l

pCO2 16 mmHg                  K 1.2 mmol/l

pO2 46 mmHg                     Cl 136 mmol/l

HCO3 8.3 mmol/l                BSL 1.5 mmol/l

B/E -16.8                             Cr 17 umol/l

Lactate 0.3                           HB 46 mmol/l

  1. Describe and interpret the VBG
  2. What would be your next step in management of this patient?