ABG Flashcards

1
Q

discuss the following ABG
pH 7.48 7.35-7.45
pCO2 45 35-45 mmHg
pO2 69 60-85 mmHg
HCO3 33 22-28 mmol/L
NA+ 126 135-145 mmol/L
K+ 1.8 3.5-4.5 mmol/L
Cl- 84 95-110 mmol/L
Glu 5.9 3.0-7.8 mmol/L

A

compensated metabolic alkalosis
severe hypokalaemia
expected CO2 = 0.7xHCO3 +21
normal Anion Gap

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2
Q

A 37 year old female presents to your emergency department with progressively worsening
abdominal pain. She had gastric bypass surgery (at your facility) for morbid obesity 4 months ago
and has lost 40 kg. discuss causes for compensated metabolic alkalosis in this context

A
  • Prolonged vomiting
  • Bowel obstruction
  • Anastomotic leak/perforation
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