Tuller Revisited
- Specific Examples
- case C
- data
- pH = 7.55 units
- PaCO2 = 27 mm Hg
- [HCO3-] = 23 mmol/L
- PaO2 = 104 mm Hg
- SaO2 = 98%
- diagnosis
- 1ø respiratory alkalosis
- no compensation whatsoever ("get the bag out!")
- case D
- data
- pH = 7.30 units
- PaCO2 = 34 mm Hg
- [HCO3-] = 24 mmol/L
- diagnosis
- data incompatibility ("get the technician out?)
- Lessons Learned
- when in doubt, do not guess, but obtain another arterial blood sample for
analysis
- never discredit the importance of acquiring an accurate patient history