Lab case 418

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65 year old lady with history of progressive supranuclear palsy presented with aspiration pneumonia. Her venous blood gases showed the following:

PH = 7.315

pCO2 = 48 mmHg

pO2 = 48 mmHg

HCO3 = 24 mmol/L

Hb = 185 g/L

Na = 158 mmol/L

K = 5.1 mmol/L

Cl = 118 mmol/L

Glucose = 19.5 mmol/L

Lactate = 2.4 mmol/L

Creatinine = 61 umol/L

Ketones = 1.9 mmol/L

Questions:

  1.  Interpret these findings
  2. How will you manage this patient?