Lab case 371

53 years old type I diabetic lady was brought to the emergency department with tiredness, Blood gases were taken in ED. While awaiting the results of these gases the patient had a seizure. The blood gases (before the seizure) showed the following

PH = 7.035

pCO2 = 52 mmHg

pO2 = 40 mmHg

HCO3 = 13 mmol/L

Hb = 136 g/L

Na = 123 mmol/L

K = 6.1 mmol/L

Cl = 92 mmol/L

Glucose = 55 mmol/L

Lactate = 12.8 mmol/L

Ketones = 1.2 mmol/L

Creatinine = 211 umol/L

Questions:

  1. Interpret these results
  2. What are the potential causes of seizures in this patient?