An unconscious young girl, was brought to ED by ambulance. Apparently she ingested an unknown substance during a party. Her venous blood gases showed the following:
PH = 7.15
pCO2 = 19 mmHg
HCO3 = 6.5 mmol/L
Na = 139 mmol/L
K = 4.4 mmol/L
Cl = 112 mmol/L
Hb = 164 mmol/L
Glucose = 5.2 mmol/L
Lactate = 1.9 mmol/L
Creatinine = 91 umol/L
Ketones = 0.7 mmol/L
Questions:
- Interpret these findings
- What are the potential causes?