Lab Case 55 – Interpretation

55 year old female – AMS VBG shows: 1. Severe hyponatraemic, hypokalaemic, hypochloraemic metabolic alkalosis compensated (within limitations of VBG) Elevated lactate AG = 6 (low –>?? alcohol) 2. AMS – seizure, trauma, alcohol intoxication/withdrawal/ Wernicke’s, severe hyponatraemia, sepsis (intracranial/ … Continue reading

Lab Case 55

A 55 year old female presents to ypur ED with an altered mental state. Her VBG is as follows: pH  7.54    (7.36-7.44) pCO2   48    (35-45 mmHg) pO2  31 HCO3  41   (24 +/- mmol/l) BE  16 Na  100    (137-145 mmol/l) K   2.1   … Continue reading