Gas Goblin: Case #31

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Goblin
The Ringing in the Ears

A 27-year-old woman presents with tinnitus, vomiting and hyperventilation after an overdose of aspirin tablets 6 hours earlier.

  • ABG
  • pH: 7.45 (7.35 – 7.45)
  • pO₂: 110 mmHg (75 – 100)
  • pCO₂: 22 mmHg (35 – 45)
  • HCO₃⁻: 14 mmol/L (22 – 26)
  • BE: -6 mmol/L (-3 – 3)
  • SaO₂: 100 % (94 – 100)
  • Na⁺: 140 mmol/L (135 – 145)
  • K⁺: 3.4 mmol/L (3.5 – 5.5)
  • Cl: 100 mmol/L (95 – 110)
  • Ca: 1.18 mmol/L (1.12 – 1.3)
  • Lactate: 3 mmol/L
  • Glucose: 6 mmol/L (4 – 8)
  • Urea: 5 mmol/L
  • Creatinine: 70 μmol/L
  • Osmolarity: 285 mOsm/L
  • COHb: 1 % (0.2 – 2)
  • MetHb: 1 %
  • fiO2: 0.21

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