Lab case 333

68 year old man presented to ED with fever and shortness of breath. This patient underwent intra-abdominal surgery 2 weeks ago, he had resection of a part of his small intestine with end to end anastomosis.

His venous blood gas showed the following:

PH = 7.501

PCO2 = 41 mmHg

HCO3 = 32 mmol/L

Hb = 98 g/L

Na = 133 mmol/L

K = 2.9 mmol/L

Cl = 93 mmol/L

Glucose = 17 mmol/L

Lactate = 1.6 mmol/L

Creatinine = 60 umol/L

Questions:

  1. Interpret these results
  2. What are the causes of Alkalosis in septic patients?