Gas Goblin: Case #39
The Quiet After the Storm
A 6-year-old boy arrives after a 3-minute generalised tonic–clonic seizure. He is drowsy but rousable.
- ABG
- pH: 7.25 (7.35 – 7.45)
- pO₂: 98 mmHg (75 – 100)
- pCO₂: 30 mmHg (35 – 45)
- HCO₃⁻: 13 mmol/L (22 – 26)
- BE: -10 mmol/L (-3 – 3)
- SaO₂: 99 % (94 – 100)
- Na⁺: 138 mmol/L (135 – 145)
- K⁺: 4 mmol/L (3.5 – 5.5)
- Cl: 101 mmol/L (95 – 110)
- Ca: 1.2 mmol/L (1.12 – 1.3)
- Lactate: 10 mmol/L
- Glucose: 6 mmol/L (4 – 8)
- Urea: 3 mmol/L
- Creatinine: 30 μmol/L
- Osmolarity: 275 mOsm/L
- COHb: 1 % (0.2 – 2)
- MetHb: 1 %
- fiO2: 0.21
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