Lab case 268

40 year old healthy ICU nurse, works with COVID-19 patients. She was brought to ED by ambulance after collapsing in a shower. Her pulse rate was 120 and blood pressure was 120/80.

Her blood gases (VBG) showed the following

PH = 7.28

PCO2 = 31 mmHg

PO2 = 48 mmHg

HCO3 = 14 mmol/L

Na = 132 mmol/L

K = 3.1 mmol/L

Cl = 102 mmol/L

Cr = 45 umol/L

Hb = 110 g/L

Glucose = 2.9 mmol/L

Lactate = 5.8

Ketones = 6.2

 

Questions:

  1.  Interpret these results
  2.  Explain these findings