Gas Goblin: Case #38
The Cold, Slow Body
A 70-year-old woman with known hypothyroidism is brought in by family with hypothermia, bradycardia and reduced consciousness.
- ABG
- pH: 7.25 (7.35 – 7.45)
- pO₂: 80 mmHg (75 – 100)
- pCO₂: 55 mmHg (35 – 45)
- HCO₃⁻: 23 mmol/L (22 – 26)
- BE: -2 mmol/L (-3 – 3)
- SaO₂: 92 % (94 – 100)
- Na⁺: 128 mmol/L (135 – 145)
- K⁺: 4.5 mmol/L (3.5 – 5.5)
- Cl: 100 mmol/L (95 – 110)
- Ca: 1.12 mmol/L (1.12 – 1.3)
- Lactate: 2 mmol/L
- Glucose: 3.8 mmol/L (4 – 8)
- Urea: 10 mmol/L
- Creatinine: 110 μmol/L
- Osmolarity: 270 mOsm/L
- COHb: 1 % (0.2 – 2)
- MetHb: 1 %
- fiO2: 0.28
💀 💀 💀 💀