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Drug Induced Methemoglobinemia

Drug Induced Methemoglobinemia
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摘要 The normal presentation of a patient with a drug induced methemoglobinemia is a low pulse oximetry (SpO2) reading, usually in the mid 80% range, while having a very high PaO2 on an arterial blood gas (ABG)1. We present a case where the initial ABG showed a very high PaO2 and a metabolic alkalosis while the SpO2 fluctuated (85%- 99%). Those findings combined with hemodynamic instability complicated the diagnosis and delayed optimal care. The normal presentation of a patient with a drug induced methemoglobinemia is a low pulse oximetry (SpO2) reading, usually in the mid 80% range, while having a very high PaO2 on an arterial blood gas (ABG)1. We present a case where the initial ABG showed a very high PaO2 and a metabolic alkalosis while the SpO2 fluctuated (85%- 99%). Those findings combined with hemodynamic instability complicated the diagnosis and delayed optimal care.
出处 《Open Journal of Anesthesiology》 2013年第3期140-142,共3页 麻醉学期刊(英文)
关键词 GENERAL ANESTHESIOLOGY CLINICAL ANESTHESIOLOGY ANESTHETIC MONITORING General Anesthesiology Clinical Anesthesiology Anesthetic Monitoring
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