41 year old lady with history of back pain and gastritis presented with myalgia and proximal muscles weakness. Her VBG showed the following:
PH = 7.27
PO2 = 32 mmHg
PCO2 = 34 mmHg
HCO3 = 16 mmol/L
Na = 140 mmol/L
K = 2.2 mmol/L
Cl = 116 mmol/L
Cr = 88 nmol/L
BSL = 5.4 mmol/L
Lactate = 1.1 mmol/L
Questions:
- Interpret these results?
- What are the potential causes?
- How will you manage this case?