Gas Goblin: Case #3
The Cookie at the Party
An 8-year-old girl with peanut allergy presents with facial swelling, wheeze, hypotension and reduced level of consciousness after eating a cookie at a party.
- ABG
- pH: 7.12 (7.35 – 7.45)
- pO₂: 60 mmHg (75 – 100)
- pCO₂: 60 mmHg (35 – 45)
- HCO₃⁻: 18 mmol/L (22 – 26)
- BE: -10 mmol/L (-3 – 3)
- SaO₂: 88 % (94 – 100)
- Na⁺: 138 mmol/L (135 – 145)
- K⁺: 4.5 mmol/L (3.5 – 5.5)
- Cl: 100 mmol/L (95 – 110)
- Ca: 1.18 mmol/L (1.12 – 1.3)
- Lactate: 6 mmol/L
- Glucose: 9 mmol/L (4 – 8)
- Urea: 5 mmol/L
- Creatinine: 40 μmol/L
- Osmolarity: 290 mOsm/L
- COHb: 1 % (0.2 – 2)
- MetHb: 1 %
- fiO2: 0.6
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