Case-
A 72-year male, a retired car mechanic, presented to ED by ambulance at 0100 hours. He was found slumped over in his garage area, obtunded.
His initial vitals were- BP 100/60, HR 90, RR 19, Sats-94%, and BSL 15.
He takes an antihypertensive, a beta-blocker, insulin.
A 30 year old NIDDM is brought to your ED after being found with altered mental state following an argument with his partner.
He is unwell, has compensated shock requiring emergent management Continue reading
A 49 year old man with confusion, hypothermia and shock requiring urgent resuscitation has blood results which show Continue reading
A 58 year old man with altered mental state, low GCS with tachycardia and hypotension requiring airway control and resuscitation Continue reading
Below is the interpretation for Lab Case 1
Describe and interpret this arterial blood gas:
History: 45y male found in his garage. Brought in by ambulance with altered mental state. His arterial blood gas on arrival (FiO2 = 0.21%):
pH 6.90 Na 153
pCO2 20 K 4.1
pO2 115 Cl 109
HCO3 4.0 Glucose 5.2
COHb <1.0% Urea 5.5
Ethanol <0.01% Osmolality 335