30 something old man found at home
difficult to rouse and
uncommunicative
>He had a PR 120, RR 22, BP 120/100 according to NIBP but barely palpabale
>peripherally, temp 36.5, GCS 10 (E4 V1 M5), SaO2 82 (99 on o2).
>Initial investigations from his blood gases revealed a K of 7.7 and a mild
>acidosis BXS -6, ph 7.243, pco2 48.4, po2 154. ECG showed some peaking of T
>waves but qrs width was normal. Urinalysis did not reveal any blood on dip
>sticking. CXR was normal.
What was his Anion Gap?
Andy Johnston
Senior House Officer
Medicine
Aberdeen Royal Infirmary
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