46-year-old female patient presented with few episodes of vomiting. Her VBG showed the following:
PH = 7.55
pCO2 = 26 mmHg
HCO3 = 25 mmol/L
Na = 131 mmol/L
K = 3.3 mmol/L
Cl = 100 mmol/L
Creatinine = 121 umol/L
Glucose = 6.1 mmol/L
Lactate = 2.1 mmol/L
Questions:
- Interpret these results
- What are the potential causes?
- How will you manage this patient?