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Arterial blood gas analysis - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions

Doctor :   Hi
Doctor :  
How can i help you?
User :   Pt. admitted : 8 pm for c/o LVF. BP=104/70, HR=110/min, S1S2+, B/L Crepts.
CPK MB=25.2, Electrolytes, Urea, Creat., SGOT, SGPT, RBC, WBC, Hb (14.9,F)---- All NORMAL. BUT SpO2=78% (O2 inhalation.)

ABG at 10 pm: pH=6.98, pCO2=102mm, pO2=25 or 251(unclear), BE= - 9.6mmol/l, tCO2=26.6, HCO3=23.5, BB=36.9, BEact= - 10.6, BEecf=8.1, stHCO3=16.1, st.pH=7.229, OH+=104.5mmol/l. tHb=11.5g/dl, SO2=99%,SO2©=99%, Hct©=34%, O2Ct=16.6vol%, PEO ©=�., AaDo2=0mmHg.

Entered Paramrters: FiO2=0.21, RO=0.84, P50=26.7mmHg,Tvol=0, MCHC=33.3%.
Barometer: 717.3mmHg.

1.     When Sp02=78% n respiratory distress, what is the criteria of deciding to ventilate?
2.     ABG (as above) was done after 2hrs. What is ur opinion on the above values? pO2=25 or 251?
3.     Do the above suggest that pt. is ventilated?
Pl oblige by ur v precious opinion.
Doctor :   i shall take few minutes to read..

User :   i ve send u some ABG opinion Thx
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