Blood Gas # 29

Posted Leave a commentPosted in ed, medical

History: A 39 year old highly functioning professional female is brought to ED complaining of abdominal pain and nausea.  She has a VBG performed. pH 7.29 Na 138 mmol/L pCO2 28 K 1.4 mmol/L pO2 51 Cl 111 mmol/L HCO3 14 Creatinine 126 mmol/L Glucose 5.7 mmol/L Lactate 1.6 mmol/L Her baseline creatinine was 62 three months ago.

Blood Gas # 28

Posted Leave a commentPosted in ed, education

History: A 42yr female was brought to ED as a priority 1 trauma after she was found on the floor at home.  History of alcohol abuse drinking at least 2 bottles of wine per day.  GCS12 (E3 V4 M5), confused.  Bilateral raccoon eyes. pH 7.59 Na 105 mmol/L pCO2 45 K 2.6 mmol/L pO2 50 Cl 49 mmol/L HCO3 43 […]

Blood Gas # 27

Posted Leave a commentPosted in ed, education

History: An obese 57yr male presented with a deliberate self-harm attempt of 5 days’ worth of his blister pack medications at 10pm.= Total doses ingested shown below: Perindopril 20mg Metformin 15g Allopurinol 1500mg Sodium Valproate 10g Zopiclone 37.5mg Thyroxine 250mcg Aspirin 500mg Lorazepam 5mg Gliclazide 300mg Rosuvastatin 200mg Quetipaine 250mg Sitagliptin 500mg Ferrous sulphate (elemental iron 105mg per tab) 525mg […]