Lab case 432

84 year old man with history of asthma and COPD presented with acute shortness of breath. His venous blood gases showed the following:

PH = 7.547

pCO2 = 24 mmHg

HCO3 = 21 mmol/L

Na = 143 mmol/L

K = 3.3 mmol/L

Cl = 107 mmol/L

Hb = 144 g/L

Glucose = 10.3 mmol/L

Lactate = 4.5 mmol/L

Creatinie = 85 umol/L

 

Explain these findings?