70 year old man presented with reduced level of consciousness.
His venous blood gas showed the following:
PH = 7.31
PO2 = 62 mmHg (on 6L O2)
PCO2 = 51 mmHg
HCO3 = 21 mmol/L
Na = 133 mmol/L
K = 3.6 mmol/L
Cl = 100 mmol/L
BSL = 52 mmol/L
Cr = 154 nmol/L
Hb = 171 g/dl
Lactate = 4.1 mmol/L
Urea = 23 mmol/L
Questions:
- Interpret these results
- How will you manage this case?