We have just seen a 45 year old chap in A&E with "sudden onset SOB" who was
grossly hyperventilating when he came in.
Routine biochem/haem (U&E, glu, LFT, FBC, D-dimer) were normal except for a
very low phosphate (0.1 initially, 0.2 on repeat on a different
instrument).
This seems a bit extreme to me for an acute respiratory alkalosis, but I
confess I haven't seen a lot of this sort of thing - has anyone seen
anything similar?
Unfortunately, they calmed him down and sent him home without blood gases,
so I don't have a pH.
Grateful for any words of wisdom. Thanks in anticipation.
Mike Hallworth
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