Case #8: Automotive Acidosis
Author: Christopher Lim, MD
Peer Reviewer: Steve Aks, MD
A 36 year old male is brought by ambulance to the emergency department after his wife found him unarousable. His wife states that he has a history of alcohol abuse and was found with a bottle of automotive fluid next to him. During transport to the hospital, the patient has one seizure-like episode. He was intubated en-route and given midazolam.
Vitals: Temp: 98.6, HR: 112, RR: 28, BP: 106/70, O2 sat: 98% on 100% FiO2
ABG: pH 6.6, pCO2 33, PO2 253, HCO3 3.3
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