A 45 year old female presents to ED, after being found unconscious at home after being discharged form a MHU.
Her ABG showed the following:
-pH 7.55 Na 140mmol/l
-pCO2 12 mmHg K 3.5 mmol/l
-pO2 140mmHg (FIO2 0.40) Cl 112 mmol/l
-HCO3 10mmol/L Glucose 6.3 mmol/l
-Lactate 2 mmol/l Cr 90umol/l
Describe and Interpret the following VBG
What further Investigation would you request?
What is your initial management of this patient?