A 68 year old female is brought to ED by ambulance. her husband found her this morning confused and called the ambulance. He had last seen her last night before bed when she was well.
PMH – HTN, NIDDM
She takes propranolol, metformin, gliclazide, SGLT 2 inhibitor for diabetes
In ED the patient was obtunded GCS 11
BP 90/60 HR 110/min RR 25/min T 32 degree Celsius
Her blood gas:
HCO3 3.9 BE -36.5
Hb 168 g/l
Na 140 mmol/l K 4.9 mmol/l Cl 114 mmol/l
Glu 34 mmol/l Lactate 3.6 mmol/l
Creat 143 umol/l
Describe the blood gas and interpret.
Any other tests you would do?