Lab case 402

70-year-old diabetic man presented with vomiting. His venous blood gases showed the following:

PH = 7.56

pCO2 = 19 mmHg

pO2 = 110 mmHg

HCO3 = 18 mmol/L

Na = 139 mmol/L

K = 5.4 mmol/L

Cl = 102 mmol/L

Hb = 161 g/L

Glucose = 14 mmol/L

Lactate = 4.2 mmol/L

Creatinine = 90 umol/L

Ketone = 1.2 mmol/L

Questions:

Interpret and explain these results