Lab case 364

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8 years old asthmatic boy, presented with croupy cough and wheezy chest. His blood gases showed the following:

PH = 7.299

pCO2 = 52 mmHg

pO2 = 33 mmHg

HCO3 = 25 mmol/L

Hb = 151 g/L

Na = 138 mmol/L

K = 3.5 mmol/L

Cl = 108 mmol/L

Glucose = 8.2 mmol/L

Lactate = 2.3 mmol/L

Creatinine = 46 umol/L

 Questions:

  1. Interpret these results
  2. How will you manage this patient?