Lab case 325

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67 year old man presented with back pain. He was found to be hypotensive and bradycardic. His venous blood gas showed the following

PH = 7.028

PCO2 = 24 mmHg

HCO3 = 6 mmol/L

Na = 135 mmol/L

K = 6.3 mmol/L

Cl = 118 mmol/L

Hb = 88 g/L

Glucose = 7.1 mmol/L

Lactate = 0.6 mmol/l

Ketones = 0.7 mmol/L

Creatinine = 243 nmol/L

Questions:

  1. Interpret these results
  2. What are the causes of hyperchloraemia?