Gas Goblin: Case #6
The Silent Gurgle Turns Sour
A 70-year-old woman with small bowel obstruction has had several days of profuse vomiting and now develops fever, hypoxia and coarse crackles after an aspiration event.
- ABG
- pH: 7.38 (7.35 – 7.45)
- pO₂: 68 mmHg (75 – 100)
- pCO₂: 58 mmHg (35 – 45)
- HCO₃⁻: 34 mmol/L (22 – 26)
- BE: 8 mmol/L (-3 – 3)
- SaO₂: 92 % (94 – 100)
- Na⁺: 132 mmol/L (135 – 145)
- K⁺: 2.9 mmol/L (3.5 – 5.5)
- Cl: 86 mmol/L (95 – 110)
- Ca: 1.14 mmol/L (1.12 – 1.3)
- Lactate: 2 mmol/L
- Glucose: 6 mmol/L (4 – 8)
- Urea: 9 mmol/L
- Creatinine: 110 μmol/L
- Osmolarity: 290 mOsm/L
- COHb: 1 % (0.2 – 2)
- MetHb: 1 %
- fiO2: 0.4
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