50-year-old man with THC hyperemesis. His blood gases showed the following:
PH = 7.58
pCO2 = 20 mmHg
pO2 = 28 mmHg
HCO3 = 18 mmol/L
Na = 141 mmol/L
K = 3.7 mmol/L
Cl = 108 mmol/L
Hb = 160 g/L
Glucose = 7.9 mmol/L
Lactate = 2.7 mmol/L
Creatinine = 94 umol/L
Phosphate < 0.32 (Normal value 0.75-1.5)
Quesions:
- Interpret these results
- Why the phosphate level was low
- How will you manage this low phosphate level