Lab case 178

A 46 year old female presents after a collapse. She has no prior medical issues.

BP 110/70

PR 100/min

T 37

RR 14/minHer blood results:

pH  7.580

pCO2  56 mmHg

HCO3  53 mmol/l

BE  25

Hb  137 g/l

Na  125 mmol/l

K  2.0 mmol/l

Cl  68 mmol/l

Glu  8.6 mmol/l

Lac  2.1 mmol/l

Creat  45 umol/l

Describe and interpret the blood gas

What would the ECG show?

What are your treatment priorities?