39 year old IDDM, presents with a 1 day history of vomiting. The patient has been on an alcohol binge and non-compliant with his insulin.
pH 7.50 Na 141mmol/l
pCO2 39mmHg K 4.1mmol/l
HCO3 30mmol/l Cl 82mmol/l
B/E 7 Cr 136mmom/l
Lactate 3.2 BSL 22mmol/l
- Describe and Interpret the VBG
- How would you manage this patient?