Specialties MICU
Published Nov 17, 2004
What is the lowest Blood pH you have ever seen drawn on a patient?
fairone
7 Posts
6.9 on a diabetic ketoacidosis pt...survived.
I've never seen a pa02 less then 30 - 40 - I remember taking one somewhere in that range and concluding it must have been venous. Repeat taken. Um....no.
EricTAMUCC-BSN, BSN, RN
318 Posts
I saw 7 yesterday on a GI Bleeder. He had been putting alcohol down his peg.
He had been putting alcohol down his peg.
I should be suprised, but I'm not. People try anything. I remember a mother once putting peas down her sons PEG tube....
Aneroo, LPN
1,518 Posts
6.96- 2.2kg full term (so they said) brought into NICU after difficult delivery, possible meconium aspiration. Said when the team went in, they were doing compressions. Had a HR of 100 when he came back (4 epis? I think...). Don't remember specifics on rest of labs, but off the wall. Chemstrip registered at 9 and 13!!! Finally went back up to 60-ish after several D10 boluses.
-Andrea
-PS- I'm only a student. Was observing in NICU one week, so if I have some wrong values, forgive me! Just seemed WAY off to me.
Jessielee22
9 Posts
I had a pH of 7.14 last night pO2 of 46 through an A-line? Do you think he'll survive with those numbers?
NotReady4PrimeTime, RN
5 Articles; 7,358 Posts
The lowest I've ever seen was 6.72 in a child during E-CPR. We were successful in obtaining a return of circulation, but the patient ultimately died the next day. The lowest I've seen in a child who survived the ICU was 6.79, with a PO2 of 29 and a PCO2 of 141. This was also an E-CPR case, after which the child survived another 369 days but with severe sequelae; she actually just died last week.
WalkieTalkie, RN
674 Posts
6.82, she died a couple days later
RNFELICITY
144 Posts
6.8 on a suicide attempt with heroine and every other drug imagineable...pt did not live
jbp0529
145 Posts
pH 6.7, mixed metabolic and respiratory nightmare. Came from ER intubated, advanced sepsis. Bicarb drip at 250 ml/hr, maxed on multiple pressors. Chest xray a total white-out. Vent changed to an osscilator on arrival, quinton placed for CVVHD. Family called in to say their good-byes, and the pt passed within about 5 hrs after being made DNR.
perkizme
102 Posts
cardiac arrest found down with a 6.8 - needless to say, didnt make it for very long
Christie RN2006
572 Posts
The lowest I have seen was I think 6.7 and all of the other numbers were way off too. The pt ended up maxed on a bicarb drip, vasopressin, and epi. We coded the pt 3 times before the family decided to let us stop. We never really did figure out what was wrong with this pt either...
RN1982
3,362 Posts
The lowest I've seen was 6.88 on a COPD patient right before we intubated him. His gases in the ER were ok on 3-4 liters nasal cannula but someone had the bright idea to throw a 100% non-rebreather on him.