Lab case 395

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72 year old man with history of COPD presented with shortness of breath. His chest auscultation revealed bilateral wheezes.

His arterial blood gas on 40% O2 showed the following:

PH = 7.29

PCO2 = 60 mmHg

PO2 = 130 mmHg

HCO3 = 31 mmol/L

Na = 141 mmol/L

K = 4.5 mmol/L

Cl = 104 mmol/L

Glucose = 6.2 mmol/L

Hb = 172 g/dL

Lactate = 1 mmol/L

Cr = 74 umol/L

Questions:

  •  Interpret these results
  • How will you manage this patient