Blood Gas Results

[Guest guest]

Hi ,

I have no idea what his previous blood gas results were as this is

the first time that I have received them personally - other times the

doctor has just said that they were fine (as they have done this

time). See what you think.

Capillary Sample Acid/Base 37'C

pH 7.413

pCO2 4.38 kPa

p02 11.09 kPa

HC03 -act 20.5 mmol/L

HC03 -std 21.9 mmol/L

ctC02 21.5 mmol/L

BE( -3.1 mmol/L

BE(ecf) -4.1 mmol/L

Electrolytes:

Na+ 143.0 mmol/L

Cl- 108 mmol/L

I have no idea what I am looking for to tell you the truth - if you

could throw some light on this then I would be grateful.

I seem to have lost s ketones totally (registering 0.8!) I

gave him 10mg Clobazam last night as the night before he had 7

seizures and was like a zombie most of yesterday - so much so that I

could hardly get him to eat or drink (which really helps matters).

He only had 2 seizures in the early hours of this morning but he is

still a bit spaced today although he is brightening up a bit now. He

has eaten more this morning.

I decided to go right to the beginning yesterday, and have basically

put him back on a 4:1 ratio with the additional 400 calories for the

time being to try and get ketones up a bit. I have stopped the lower

ratio and ditched the MCT oil - I just really wish I could get him

back on an even keel again. This has been going on for 2 weeks now

and he is not up to going to his summer playscheme or anything. I

hate seeing him like this.

It is a vicious circle we seem to be in - he seizes, gets tired,

doesn't want to eat, glucose rises, ketones drop and because he is

tired as well, he siezes more - it just keeps going round and I don't

know how to break this bloody cycle. I gave him Clobazam last night

and he did sleep better and only started having seizures at about

5.30am, he had another at about 6.40am and I got him up after that

and although he is a bit spaced, he hasn't had a t/c since (he will

probably go nuts now that I have said that!) I am going to keep him

on the Clobazam for the next few nights to see if he can rest better

and try and break this cycle - I am just going to have to think of

the meds as being on antibiotics or something like that - I hate

having to give him AED's now he has been off them for so long - at

least Clobazam has only been prescribed short term. I will then wean

him off slowly.

In the meantime, I have a serious case of cabin fever!

Hope all is well with you and (what a cutie!)

Take Care

Emma. - Mum to who is having a rough old time at the moment.