Table 1: Arterial blood gas #1 demonstrated severe, mixed, respiratory-metabolic acidosis. Arterial blood gas #2 showed improving arterial pH and arterial blood gas #3 demonstrated resolution of the acute acid-base disturbance.
Lab Finding |
Arterial Blood Gas #1 (0801) |
Arterial Blood Gas #2 (0822) |
Arterial Blood Gas #3 (0840) |
Reference Range |
pH |
7.18 |
7.303 |
7.43 |
7.35-7.45 |
pCO2 |
56 mmHg |
32.2 mmHg |
35 mmHg |
35-45 mmHg |
HCO3 |
20 mmol/L |
16.0 mmol/L |
23 mmol/L |
22.0-26.0 mmol/L |
PO2 |
482 mmHg |
> 450 mmHg |
469 mmHg |
80-100 mmHg |
Sodium |
138 mmol/L |
139 mmol/L |
136 mmol/L |
136-144 mmol/L |
Potassium |
4.0 mmol/L |
3.1 mmol/L |
3.0 mmol/L |
3.5-5.0 mmol/L |
Chloride |
109 mmol/L |
Not Measured |
109 mmol/L |
97-105 mmol/L |
Lactate |
8.8 mmol/L |
Not Measured |
5.4 mmol/L |
0.5-2.2 mmol/L |
Hemoglobin |
17.9 g/dl |
14.3 g/dl |
15.7 g/dl |
13.0-17.0 g/dl |
Hematocrit |
54.6% |
42% |
48.2% |
39.0-51.0% |