Gas Goblin: Case #25
The Snowy Vision
A 48-year-old man is brought by friends after drinking homemade spirits. He is vomiting and complaining of blurred vision: 'everything is snow'.
- ABG
- pH: 7.05 (7.35 – 7.45)
- pO₂: 95 mmHg (75 – 100)
- pCO₂: 20 mmHg (35 – 45)
- HCO₃⁻: 6 mmol/L (22 – 26)
- BE: -24 mmol/L (-3 – 3)
- SaO₂: 99 % (94 – 100)
- Na⁺: 142 mmol/L (135 – 145)
- K⁺: 4.5 mmol/L (3.5 – 5.5)
- Cl: 100 mmol/L (95 – 110)
- Ca: 1.2 mmol/L (1.12 – 1.3)
- Lactate: 3 mmol/L
- Glucose: 6 mmol/L (4 – 8)
- Urea: 8 mmol/L
- Creatinine: 100 μmol/L
- Osmolarity: 360 mOsm/L
- COHb: 1 % (0.2 – 2)
- MetHb: 1 %
- fiO2: 0.21
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