Lab Case 412

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65 year old lady with history of COPD presented with shortness of breath. He chest auscultation revealed bilateral wheezes.

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

PH = 7.31

PCO2 = 61 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:

  1.  Interpret these results
  2. How will you manage this patient