Gas Goblin: Case #17
The Body Running on Empty
A 32-year-old woman with Addison’s disease presents with vomiting, abdominal pain, hypotension and confusion. She has missed several doses of prednisolone during a gastro illness.
- ABG
- pH: 7.28 (7.35 – 7.45)
- pO₂: 90 mmHg (75 – 100)
- pCO₂: 28 mmHg (35 – 45)
- HCO₃⁻: 13 mmol/L (22 – 26)
- BE: -12 mmol/L (-3 – 3)
- SaO₂: 98 % (94 – 100)
- Na⁺: 128 mmol/L (135 – 145)
- K⁺: 6 mmol/L (3.5 – 5.5)
- Cl: 103 mmol/L (95 – 110)
- Ca: 1.17 mmol/L (1.12 – 1.3)
- Lactate: 2 mmol/L
- Glucose: 3.4 mmol/L (4 – 8)
- Urea: 12 mmol/L
- Creatinine: 120 μmol/L
- Osmolarity: 280 mOsm/L
- COHb: 1 % (0.2 – 2)
- MetHb: 1 %
- fiO2: 0.21
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