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Blood Gases/hemoglobin Analysis


Sent to Health Experts July 18, 2006 12:48 p.m.
Patient has advanced stage small cell lung cancer and is on venilator. Blood gas values are:

Ph            7.26
PA02    100.00
PACO2 62.00

Hemoglobin is 7.5

On a scale of 1-10 with 10 being excellent. Based on the above information what number would you give this patient for the exchange of blood gases and what number would you give for hemoglobin?

Optional Information:
Male , Age: 64
Customer (name blocked for privacy)
Status: Closed   Value: $10   
Info Request
July 18, 2006 1:07 p.m. (19 minutes and 2 seconds later) 		REPLIED to Info Request Check Mark
Do you know what percentage of oxygen the patient is recieving - that would be essential to determine the exchange of oxygen

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PictureFamily Physician  -- Doctor (MD) -- 99% Positive Feedback on 3723 Health Accepts
Physician with 22 years experience in Emergency Medicine / Family Medicine
Reply to Family Physician
Sent July 18, 2006 1:11 p.m. (4 minutes and 40 seconds later)
receiving 100% oxygen
Customer (name blocked for privacy)
Reply
Sent July 18, 2006 1:26 p.m. (14 minutes and 37 seconds later)
Relist: No answer yet.
Customer (name blocked for privacy)
Answer
July 18, 2006 1:40 p.m. (13 minutes and 58 seconds later) 		ACCEPTED Check Mark
The patient is retaining CO2 (normal pCO2 is 40)so based on the limited information available (You did not give the entire blood gas results) - it seems like the patient is not doing well.

The PO2 is OK - at 100, however it is taking 100% O2 to obtain that level. Room air contains 21% Oxygen

You asked for a scale of 1-10 I would say 3 or 4 at best.

As for the Hemoglobin - this is low at 7.5 with low normal about 13.5. I would give this also about a 3 on a scale of 1-10.

Based on the limited information available: Diagnosis of advanced stage lung cancer, being on a ventilator at 100% O2, the lab results - this patient is not doing well.

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Please click "ACCEPT" if I answered your question to your satisfaction so that I may get credit for my work.

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PictureFamily Physician  -- Doctor (MD) -- 99% Positive Feedback on 3723 Health Accepts
Physician with 22 years experience in Emergency Medicine / Family Medicine

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