| Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc |
| Journal website http://www.journalmc.org |
Case Report
Volume 5, Number 5, May 2014, pages 312-314
Successful Treatment of Life-Threatening Metabolic Alkalosis Due to Pyloric Stenosis: A Rare Case
Tables
| Arterial blood gas | Normal range | Hospital day 0 0 h | Hospital day 0 8 h | Hospital day 1 12 h | Hospital day 2 36 h |
|---|---|---|---|---|---|
| 1millimeter of mercury; 2Carbon dioxide pressure; 3Oxygen pressure; 4bicarbonate; 5millimole per liter. | |||||
| pH (mm Hg)1 | 7.35 - 7.45 | 7.91 | 7.36 | 7.34 | 7.41 |
| pCO2 (mm Hg)2 | 35 - 45 | 31 | 39 | 37 | 25 |
| pO2 (mm Hg)3 | 80 - 100 | 60 | 59 | 89 | 105 |
| HCO3 (mmol/L)4, 5 | 18 - 23 | 63 | 22 | 20 | 16 |
| Electrolytes | Normal range | Day 0 2 h | Day 0 8 h | Day 1 12 h | Day 1 16 h |
|---|---|---|---|---|---|
| Times shown are 12-h clock, 1millimoles per liter; 2milli-equivalents per liter; 3milligram per deciliter. | |||||
| Sodium (mmol/L1) | 132 - 144 | 128 | 133 | 130 | 138 |
| Potassium (mmol/L) | 3.4 - 4.9 | 1.9 | 2.9 | 3.4 | 3.7 |
| Chloride (mmol/L) | 101 - 112 | 55 | 102 | 103 | 109 |
| Total CO2 (mEq/L2) | 20 - 29 | 48 | 25 | 21 | 21 |
| Blood urea nitrogen (mg/dL3) | 7 - 20.1 | 63 | 37 | 36 | 31 |
| Creatinine (mg/dL) | 0.6 - 1.2 | 2.5 | 1.3 | 1.2 | 1 |
| Calcium (mg/dL) | 8.7 - 10.3 | 11.2 | 5.6 | 5.9 | 6.5 |