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Alati za teme | Način prikaza |
Maya’s intern, Jake, was already there, holding a blood gas syringe. “Her saturations dropped to 82% on BiPAP. The team wants an ABG before deciding on intubation.”
That’s when the attending, Dr. Vance, appeared. He glanced at the ABG. “Call pharmacy. She gets now. But first—we need one more ABG post-intubation, then another 6 hours after tocilizumab.”
“She is —the vent just isn’t showing it because it’s set to A/C with a backup rate. Do a manual breath hold.” Maya disconnected the circuit for five seconds. The patient coughed.
PaCO₂ 68 PaO₂ 55 HCO₃ 24 Lactate 3.1
They ran it to the blood gas analyzer. Two minutes later, the results printed:
That night, Maya wrote in her note: ABG tocilizumab — a story of two drugs. One tells you the gas exchange. The other changes the rules of inflammation. Together? They can save a life—if you know how to read between the lines.
Maya nodded, palpating the patient’s radial artery. The woman—Letitia—was tachypneic, using accessory muscles, her eyes wide with air hunger. Maya inserted the needle, and dark red blood filled the heparinized syringe. Whew. One pass.
Jake frowned. “So we intubate.”
Maya’s intern, Jake, was already there, holding a blood gas syringe. “Her saturations dropped to 82% on BiPAP. The team wants an ABG before deciding on intubation.”
That’s when the attending, Dr. Vance, appeared. He glanced at the ABG. “Call pharmacy. She gets now. But first—we need one more ABG post-intubation, then another 6 hours after tocilizumab.”
“She is —the vent just isn’t showing it because it’s set to A/C with a backup rate. Do a manual breath hold.” Maya disconnected the circuit for five seconds. The patient coughed.
PaCO₂ 68 PaO₂ 55 HCO₃ 24 Lactate 3.1
They ran it to the blood gas analyzer. Two minutes later, the results printed:
That night, Maya wrote in her note: ABG tocilizumab — a story of two drugs. One tells you the gas exchange. The other changes the rules of inflammation. Together? They can save a life—if you know how to read between the lines.
Maya nodded, palpating the patient’s radial artery. The woman—Letitia—was tachypneic, using accessory muscles, her eyes wide with air hunger. Maya inserted the needle, and dark red blood filled the heparinized syringe. Whew. One pass.
Jake frowned. “So we intubate.”
