A 20 year old male is brought to ED by his friends with generalized malaise and weakness for last 3 days. He is confused , and looks unwell.
HR 120, BP 100 systolic, afebrile, RR 28, sats 95 RA, GCS 14 confused. His VBG result is as followed.
| PH 7.08 ( 7.35 – 7.45) Lactate 2.5 ( 0.2-1.8) |
| PCO2 21 ( 35 – 45) Hb 168 |
| HCO3 16 ( 22 – 28) |
| BSL 50 ( 3.6 – 7.7) |
| Na 153 ( 135 – 145) |
| K 2.2 ( 3.5 – 4.5) |
| Cl 117 ( 95-110) |
- What is the Primary Acid base disorder?
- What is the underlying cause of above acid base disorder.
- What are the 2 important electrolyte abnormalities on this VBG?