Table 1 Arterial blood gas analysis before and after stopping salbutamol. The patient's clinical condition and blood gases improved dramatically after cessation of salbutamol. ABGs after 11 hours and 48 hours post-withdrawal of salbutamol are shown.
From: A case of lactic acidosis complicating assessment and management of asthma
Time/Date | pH | PaCO2 | PaO2 | HCO3 | BE | Lactate | PEFR | Symptoms/Treatment |
|---|---|---|---|---|---|---|---|---|
11/1/06 21.20 hrs | 7.39 | 3.03 KPa | 20.5 KPa | 13.6 mmol/l | -11 mmol/l | 14.6 mmol/l | 230 L/min | Minimal wheeze, SOB+ Reduced dose of Salbutamol |
11/1/06 24.00 hrs | 7.32 | 3.01 KPa | 18.6 KPa | 11.7 mmol/l | -14 mmol/l | 11.06 mmol/l | 240 L/min | No wheeze, hyperventilation+ |
12/1/06 3.00 hrs | 7.28 | 2.29 KPa | 11.4 KPa | 8.3 mmol/l | -19 mmol/l | 15.2 mmol/l | 230 L/min | SOB+++, hyperventilation |
12/1/06 7.00 hrs | 7.3 | 2.13 KPa | 13.8 KPa | 8.0 mmol/l | -18 mmol/l | 10.09 mmol/l | 300 L/min | Minimal wheeze Nebulised salbutamol discontinued |
12/1/06 23.00 hrs | 7.43 | 3.46 KPa | 12.3 KPa | 17.6 mmol/l | -7 mmol/l | 6.3 mmol/l | 300 L/min | No wheeze Continued improvement |
14/1/06 10.00 hrs | 7.53 | 3.39 KPa | 9.6 KPa | 21.0 mmol/l | -2 mmol/l | 1.1 mmol/l | 320 L/min | Discharged to ward. |