A 65 year old female is brought to ED via ambulance on a priority 1. According to the paramedics the patient has taken an overdose of benzodiazepines and alcohol. Her GCS is 3 and the team is preparing to intubate the patient. The following ECG is obtained prior to intubation:
pH 7.31 Na 148 mmol/l
pCO2 16 mmHg K 1.2 mmol/l
pO2 46 mmHg Cl 136 mmol/l
HCO3 8.3 mmol/l BSL 1.5 mmol/l
B/E -16.8 Cr 17 umol/l
Lactate 0.3 HB 46 mmol/l
- Describe and interpret the VBG
- What would be your next step in management of this patient?