Lab Case 390

85-year-old man presented with recurrent syncope episodes. His blood gases (on 3 L O2) showed the following:

PH = 6.88

pCO2 = 30 mmHg

pO2 = 124 mmHg

HCO3 = 5.3 mmol/L

Na = 137 mmol/L

K = 4.7 mmol/L

Cl = 112 mmol/L

Hb = 66 g/L

Glucose = 11 mmol/L

Lactate = 15 mmol/L

Creatinine = 313 umol/L

 

 Questions:

  • Interpret these results
  • How will you manage this patient?