Gas Goblin: Case #47

← Back to all gases

The Collapse in the Heat

A 19-year-old athlete collapses during a marathon on a 38°C day. He is confused, tachypnoeic and hypotensive.

ABG
pH: 7.26 (7.35 – 7.45)
pO₂: 98 mmHg (75 – 100)
pCO₂: 30 mmHg (35 – 45)
HCO₃⁻: 14 mmol/L (22 – 26)
BE: -10 mmol/L (-3 – 3)
SaO₂: 98 % (94 – 100)
Na⁺: 132 mmol/L (135 – 145)
K⁺: 4.8 mmol/L (3.5 – 5.5)
Cl: 100 mmol/L (95 – 110)
Ca: 1.16 mmol/L (1.12 – 1.3)
Lactate: 7 mmol/L
Glucose: 6 mmol/L (4 – 8)
Urea: 8 mmol/L
Creatinine: 100 μmol/L
Osmolarity: 285 mOsm/L
COHb: 1 % (0.2 – 2)
MetHb: 1 %
fiO2: 0.21

💀 💀 💀

Hide Spoilers

Parameters

Sample Type ABG

pH

pO₂ (mmHg)

pCO₂ (mmHg)

HCO₃⁻ (mmol/L)

BE (mmol/L)

SaO₂ (%)

Na⁺ (mmol/L)

K⁺ (mmol/L)

Cl (mmol/L)

Ca (mmol/L)

Lactate (mmol/L)

Glucose (mmol/L)

Urea (mmol/L)

Creatinine (μmol/L)

Osmolarity (mOsm/L)

COHb (%)

MetHb (%)

fiO2

← Back to all gases