pt in CCU kco dilated cardiomyopathy with LV Dysfunction, interpret ABG report
Compensated respiratory alkalosis
Compensated resp alkalosis
Chronic respo.alkalosis... Higher side to normal
Type1 respiratory failure... Lactic acidosis.. Probably secondary to lv failure or pulmonary edema
Metabolic acidosis.(lactic acidosis) Sec to hypoxia. With compensatory respiratory alkalosis
Compensated respiratory alkalosis
Compensated respiratory alkalosis.
Lactic acidosis with resp alkalosis
pH is on higher side of the normal , raised pco2 level , and low po2 level , with raised lactate indicating poor oxygenation of the tissues , bicarbonate is near to normal hence compensated respiratory alkalosis.
Compensated resp. Alkalosis
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27 year old female , recently diagnosed with bronchial asthma and 8 months amenorrhea post delivery , presented to ER with sudden onset of grade 4 SOB today morning at 11:00 am with profuse sweating and abdominal discomfort , patient was apparently asymptotic till then Had h/o dry cough since 2 months No h/o vomitings, chest pain , giddiness ,loose stools , decreased urine output ,burning micturition One episode of bleeding per rectum in hospital On arrival Pt -Drowsy,arousable GCS-E3V4M6 Bp-100/60 HR-123/min Grbs-33 Mgdl Chest -Bae , mild wheeze Laboured breathing pattern CVS-s1s2 heard Spo2-98% on room air Cold peripherals with feeble peripheral pulses Advised for CBP,ABG, electrolytes, RFT, urine for ketones, CXR,ECG CBP- HB-13.2,RBC-4.4,wbc-8300,platelet-41000 Electrolytes ,urea & creat in normal range ABG- Ph 6.994,pCO2 10.9, pO2 120.6, HCO3act 2.6 mol/l ,HCO3std 7.2mmol/l UPT is negative Viral markets are negative Couldn’t get Ketones as there is no urine output for patient since morning
Dr. Surya Teja Rudraraju3 Likes20 Answers - Login to View the image
chronic kidney disease patient came with brea difficulty; interpret cxr ; what intervention planned here to treat this breathlessness
Dr. Isha Garg4 Likes22 Answers - Login to View the image
a 27 yr female , SOB grade 4 since 5 days,her hb is 6.7gms ,b/l pedal. edema, 2d echo was EF 45% ,RF positive, ESR 70 1st hour ,now she is on O2 inhalation through mask 3 lit,inj piptaz 4.5 gr and inj moxiflox,inj dexamethasone,inj pan 40, any modifications regarding medication and management, advised 2units PRBC,pleural taping was unsuccessful,??? thankyou
Dr. Polepally Praveen Kumar4 Likes43 Answers - Login to View the image
known DM with gluteal abscess post cardiac arrest abg of a patient; interpret
Dr. Isha Garg4 Likes22 Answers - Login to View the image
Pulmonary Hypertension with BVF. *Chief Complaints* A 46 yr old female attended Mopd with progressive SOB and productive cough since 1 month with pedal edema since 10 days. No associated fever,chest pain,palpitation,Hemoptysis,Diaphoresis,pain abdomen etc. She is K/C/O Hypothyroidism and Br Asthma. No H/O HTN,DM,Substance abuse. Normal Menstrual Cycle. General Examination normal except B/l pedal edema and prominent Neck veins. Systemic Examination- B/l Infrascapular fine crepts with occasional Ronchi. Routine Ix was advised. Pt attended Mopd with reports showing- CXR - increased CT ratio suggestive of Cardiomegaly with b/l lower zone opacity. Sputum C/S normal flora. Rest blood Ix normal. ECG - multiple VPCs. 2D ECHO- 1. LV function is mildly depressed with estimated LVEF of 45%. 2. IVS and apex are mildly hypokinetic. 3. Right Atrium & Left Atrium are dilated. 4. Right Ventricle is dilated. 5. Moderate Tricuspid Regurgitation. 6. Severe pulmonary hypertension with calculated RVSP of 65mmHg +RAP. 7. Mild Mitral Regurgitation, 8. Trivial Aortic Regurgitation. 9. No LA/LV clot or pericardial effusion. NT Pro BNP not done. Pt started on conservative treatment.
Dr. Ashutosh Chandan Dubey43 Likes114 Answers