Lab case 344

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An elderly woman on beta-blockers presented to the ED with hypotension and bradycardia, PR = 30/min. Her venous blood gases showed the following:

PH = 7.27

pCO2 = 38 mmHg

HCO3 = 17 mmol/L

Na = 134 mmol/L

K = 6.8 mmol/L

Cl = 110 mmol/L

Glucose = 10 mmol/L

Lactate = 1.9 mmol/L

Creatinine = 255 mmol/L

 

 Questions: 

  • Interpret these results
  • How will you manage this condition