Acid-Base Physiology - Examples for 9.6
Case History  27 : Chest trauma from a car crash

 

Clinical Details
This middle-aged obese man was admitted following a motor vehicle crash. His major injury was chest trauma with a small right pneumothorax and at least five fractured ribs on the right. There was no head or neck injury. Abdomen was soft and CT scan of the abdomen was normal. He was haemodynamically stable with BP 130/80 and pulse 90/min. Heart sounds were normal. Respiratory distress was present. Respiratory rate was 30/min. Saturation was 95% on high flow oxygen via face mask.

Investigations: Na 138, K 3.9, Cl 103, HCO3 21, glucose 13.6, urea 5.5, creatinine 0.10 

Arterial Blood Gases

pH 

7.18  

pCO2

73 mmHg

pO2

93 mmHg

HCO3

27 mmol/l

TO BE COMPLETED

 

Assessment
Firstly, initial clinical assessment:

Secondly, the acid-base diagnosis: 
1. pH:  
2. Pattern:  
3. Clues:  
4. Compensation:  
5. Formulation:  
6. Confirmation: 
 

Finally, the Clinical Diagnosis:

 

 Diagnosis
 

 

Last updated Sunday, 27 November 2005 06:19 PM
All material Copyright - Kerry Brandis, 2001

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