Methemoglobinemia
altered state of Hgb where Fe2+ is oxidized to Fe3+
– anemic hypoxia and cyanosis develops –> MetHgb cannot bind O2 –> tissue oxygenation becomes impaired at >30%
ABG of methemoglobinemia
Metabolic acidosis with low HCO3 and base deficit
- pulse ox will be ~85%
supplemental O2 for methemoglobinemia
it will only change PaO2
- SpO2 won’t change