A 60 year old male presents with 1 week history of vomiting. In the last 24 hours the family noted that he was confused and poor to respond. Background – IHD, HTN, NIDDM on Metformin, Coversyl, aspirin, metoprolol.
On arrival he was confused.
Vitals: BP 80/40 HR 46/min Temp 34 RR 24/min and GCS 10
pH 6.89 pCO2 32 pO2 61 O2 sats 87%
HCO3 6 BE -26
Na 109 Cl 72 K 7.8
Urea 43 Creat 1401
Describe and interpret the blood tests
How would you manage this patient?
Describe the ECG changes you would expect
Thanks to Fiona Beattie
Answer will be posted 31/8/17