A 27-year-old is brought to the emergency department by par…
A 27-year-old is brought to the emergency department by paramedics following a drug overdose. The patient is obtunded. Blood gases are drawn on room air: pH 7.24 PaCO2 60 mm Hg PaO2 65 mm HgHCO3 26 mEq/L. What is the A-a gradient?
Read DetailsA 31-year-old female with known insulin dependent diabetes m…
A 31-year-old female with known insulin dependent diabetes mellitus presented to the ED. She is semi-conscious and is Kussmaul breathing. Her skin is dry, and her breath has a sweet, fruity smell. The room air ABG results are as follows: pH: 7.26 PaC02: 28 HC03: 13 Pa02: 100 How would you interpret this ABG?
Read DetailsA 17-year-old male presents in the ED in severe respiratory…
A 17-year-old male presents in the ED in severe respiratory distress. The patient is well known by the hospital staff as he has a long history of asthma that has required multiple hospitalizations. He appears semi-conscious and cyanotic. Auscultation reveals bilateral wheezes. On a 2 L/min nasal cannula, here are the results of the arterial blood gas: pH: 6.97 PaC02: 103 HC03: 23 Pa02: 33 How would you interpret this ABG?
Read Details