Abstract:
:Hyperlipemia in an acyanotic patient with diabetic ketoacidosis, alcoholism, and pancreatitis produced a falsely elevated concentration of methemoglobin (19 percent) and a lower-than-expected oxygen saturation measured with an automated spectrophotometer (IL-282 CO-Oximeter). In addition, there was a "normal" hemoglobin level despite a low hematocrit reading. In vitro studies showed that hyperlipemia corresponding to triglyceride levels of 500 mg/100 ml and greater produced erroneously high values for methemoglobin and total hemoglobin and "negative" values for carboxyhemoglobin. These abnormalities disappeared when the excessive lipids were removed by washing the erythrocytes in physiologic saline solution.
journal_name
Chestjournal_title
Chestauthors
Spurzem JR,Bonekat HW,Shigeoka JWdoi
10.1378/chest.86.1.84subject
Has Abstractpub_date
1984-07-01 00:00:00pages
84-6issue
1eissn
0012-3692issn
1931-3543pii
S0012-3692(15)40333-2journal_volume
86pub_type
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