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:
- Interpret these results
- What are the potential causes of seizures in this patient?