ABG question

[wthomp03]

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What is the lowest pH you have seen anyone survive (regardless of functional status)? What is the lowest you have seen anyone survive and still be functional?

 

[NinerNiner999]

6.7 with a Lactic Acid of 27.

 

[Apollyon]

Put that in the ER Hall of Fame thread.

 

[DrQuinn]

I've seen 6.9's taken basically right after a seizure with lactic acids > 20 obviously survive. It has nothing to do with them being very sick, just acidotic for that short period of time. Scared the bejeezus out of me until I realized the RT got it literally mid-jerk.

Q

 

[12R34Y]

kids in the PICU (at least while i was there) were commonly in the 6.9's and they usually always recovered fine.

later

 

[rdennisjr]

DKA yesterday at 7.02 and a BS initially of 832...doing well today

D

 

[Idiopathic]

Saw a DKA in the unit at 6.82 with a bicarb of zero. Still, no bicarb given...I learned a lot that day