58-year-old type II diabetic man referred by his GP for tachypnoea and tachypnoea. He takes empagliflozin (SGLT2 inhibitor).
Hi blood gases showed the following:
PH = 7.294
pCO2 = 13.4 mmHg
pO2 = 45 mmHg
HCO3 = 6 mmol/L
Hb = 156 g/L
Na = 133 mmol/L
K = 4.1 mmol/L
Cl= 108 mmol/L
Glucose = 10.4 mmol/L
Lactate = 2.8 mmol/L
Creatinine = 78 umol/L
Ketones = 7 mmol/L
Explain these results