Case Report

Extrapontine Myelinolysis following Extreme Hypernatremia and Hyperosmolarity

Table 1

Initial blood gas analysis.

ParameterValueUnitReference range

pH7.4047.35–7.45
pO270.8mmHg83–108
pCo237.5mmHg32–45
SO295.6%95–99
CHCO323.4mmol/l20–26
ABE−1mmol/l−3–2
Sodium187mmol/l136–146
Potassium3.2mmol/l3.5–5.0
Calcium1.30mmol/l1.15–1.29
Chloride148mmol/l98–106
Glucose82mg/dl70–105
Lactate1.1mmol/l0.5–1.6
Hb11.9g/dl12.0–16.0
Co-Hb0.8%0.5–1.5
Met-Hb1.0%0.0–1.5
Bilirubin0.4mg/dl0.2–1.2