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The Resus Room

Blood gases; Roadside to Resus

Nov 15, 2023
This episode of the podcast explores the significance of blood gases in different medical environments. It covers topics such as acid-base balance, respiratory and metabolic aspects of blood gases, anion gap in metabolic acidosis, venous blood gas analysis, and interpreting blood gases. The hosts provide valuable insights into the role of arterial samples and offer a systematic approach to interpreting results.
55:40

Podcast summary created with Snipd AI

Quick takeaways

  • Blood gases provide valuable information about respiratory and metabolic status in patients.
  • Interpreting blood gases involves assessing acid-base balance, ventilation, oxygenation, and compensation.

Deep dives

Patient presents with respiratory acidemia and metabolic compensation

In this podcast episode, a case is presented of a 52-year-old male who is short of breath and wheezy. The patient is on a Venturi mask at 35% for oxygenation. The blood gas shows a pH of 7.27, PCO2 of 8.7 kilopascals, PO2 of 8.1 kilopascals, and a base excess of 6 milli-equivalents per liter. From these results, it can be deduced that the patient is experiencing respiratory acidemia, with the PCO2 level indicating respiratory involvement. The base excess suggests metabolic compensation has occurred. All other values are within the normal range.

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