4 year old girl stopped eating and drinking due to sore throat. Her venous blood gases showed the following
PH = 7.236
PaCO2 = 29 mmHg
PO2 = 35 mmHg
HCO3 = 12 mmol/L
Hb = 147 g/L
Na = 139 mmol/L
K = 4.6 mmol/L
Cl 107 mmol/L
Glucose = 2.6 mmol/L
Lactate = 2.4 mmol/L
Creatinine = 50 nmol/L
Ketones = 5.9 mmol/L
Questions:
- Interpret these results?
- What are the causes of these abnormalities?
- How will you manage this case?