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%