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ABG Case 2

A 69-year-old female is reviewed on the surgical ward round. She is tachycardic and has brought up large volumes of fluid from the NG tube in situ. Your consultant barks at you: ‘underling, take a blood gas whilst I continue the round.’

Please interpret the following ABG and suggest a clinical context for this scenario.

                    

pH 7.52 pCO2 6.1 pO2 10.7 HCO3 36 Na 139 Cl- 96 SaO2 98% Lactate 1.0 Base Excess 12.7

Answer