Gas Goblin: Case #22
The Double-Edged Storm
A 36-year-old woman with type 1 diabetes presents with abdominal pain, tachypnoea and fever. She is clinically dehydrated with right-sided crepitations on auscultation.
- ABG
- pH: 7.08 (7.35 – 7.45)
- pO₂: 58 mmHg (75 – 100)
- pCO₂: 38 mmHg (35 – 45)
- HCO₃⁻: 11 mmol/L (22 – 26)
- BE: -16 mmol/L (-3 – 3)
- SaO₂: 89 % (94 – 100)
- Na⁺: 130 mmol/L (135 – 145)
- K⁺: 5.3 mmol/L (3.5 – 5.5)
- Cl: 94 mmol/L (95 – 110)
- Ca: 1.14 mmol/L (1.12 – 1.3)
- Lactate: 4 mmol/L
- Glucose: 28 mmol/L (4 – 8)
- Urea: 15 mmol/L
- Creatinine: 160 μmol/L
- Osmolarity: 320 mOsm/L
- COHb: 1 % (0.2 – 2)
- MetHb: 1 %
- fiO2: 0.4
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