A 27-year-old is brought to the emergency department by paramedics following a drug overdose. The patient is obtunded. Blood gases are drawn on room air:
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pH: 7.24
PaCO2: 60 mm Hg
PaO2: 65 mm Hg
HCO3-: 26 mEq/L
Questions
1. Interpret the blood gas.
2. What is the A-a gradient?
3. What type of respiratory failure is present?
4. What is the appropriate initial respiratory treatment in this case?
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