70 year old lady presented with fever and rigor for 2 days. Her blood venous gases showed the following:
PH = 7.457
pCO2 = 27 mmHg
pO2 = 51 mmHg
HCO3 = 19 mmol/L
Hb = 134 g/L
Na = 130 mmol/L
K = 4.6 mmol/L
Cl = 99 mmol/L
Glucose = 8.1 mmol/L
Lactate = 2.7 mmol/L
Creatinine = 142 mmol/L
Questions:
- Interpret these results
- Does the presence of rigor indicate serious bacterial infection?