Lab case 388

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:

  1. Interpret these results
  2. What are the potential causes?
  3. How will you manage this patient?