A 35 year old man, one week post knee surgery, presents with increasing pain in knee, fevers and swelling over the wound site.
His blood tests show:pH 7.526
pCO2 48.1 (35-45 mmHg)
HCO3 39.8 (22-26 mmol/l)
Hb 177 g/l
Na 135 (137-145 mmol/l)
K 2.7 (3.5-5 mmol/l)
Cl 88 (99-111 mmol/l)
Describe and interpret the blood tests
CLEVER PD:
Contraction alkalosis, Liquorice, Endocrine (Cushing’s, Conn’s), Excess alkali, Refeeding syndrome, Post-Diuretics.
GORE:
GI losses, Overdose of base, Renal/Refeeding, Endocrine.