Gas Goblin: Case #27
The Farmer in the Field
A 55-year-old farmer is found confused and sweating profusely beside an open pesticide container. He has pinpoint pupils, wheeze and copious secretions.
- ABG
- pH: 7.22 (7.35 – 7.45)
- pO₂: 70 mmHg (75 – 100)
- pCO₂: 32 mmHg (35 – 45)
- HCO₃⁻: 12 mmol/L (22 – 26)
- BE: -12 mmol/L (-3 – 3)
- SaO₂: 92 % (94 – 100)
- Na⁺: 140 mmol/L (135 – 145)
- K⁺: 4.8 mmol/L (3.5 – 5.5)
- Cl: 102 mmol/L (95 – 110)
- Ca: 1.16 mmol/L (1.12 – 1.3)
- Lactate: 5 mmol/L
- Glucose: 6 mmol/L (4 – 8)
- Urea: 8 mmol/L
- Creatinine: 90 μmol/L
- Osmolarity: 290 mOsm/L
- COHb: 1 % (0.2 – 2)
- MetHb: 1 %
- fiO2: 0.21
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