Case 1

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The low pH and low bicarbonate indicate that the patient has a metabolic acidosis but is there any other abnormality?

To remind you the values are:

• pH 7.246
• PaCO₂ 3.5 kPa
• PaO₂ 27.13 kPa
• Actual bicarbonate 11.1
• Base excess -14.3

©Charles Gomersall, September, 2008 unless otherwise stated. The author, editor and The Chinese University of Hong Kong take no responsibility for any adverse event resulting from the use of this webpage.
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