aka Metabolic Muddle 007.1
A 30 year-old female was admitted to the ICU following a traumatic brain injury. Her ABG was normal on arrival. Since admission her condition has deteriorated and she now has circulatory failure requiring 100mcg/min of noradrenaline IV.
This is her arterial blood gas now:
At this point we usually go through the case in Q&A fashion, with answers provided. Not this time folks!
Your challenge is to provide the most complete description and interpretation of the arterial blood gas data provided, taking the (sparse) clinical context into account. Use Occam’s Razor liberally, but don’t forget Hickam’s Dictum either!
The best (and earliest) answer — if worthy — will earn the answeree F.UCEM status complete with a virtual diploma… Take it away LITFLers! (You have
2 weeks 1 week from today… I changed it after seeing comments appear at a rate of 2 per hour over the first 10 hours!)
The deadline for F.UCEM status is now closed.. the Judges are conferring!