Lab case 454

2-year-old boy brought to ED by ambulance as category 1 for severe croup. His blood gases showed the following.

PH = 7.39

pO2 = 73 mmHg

pCO2 = 30 mmHg

HCO3 = 20 mmol/L

Na = 139 mmol/L

K = 3.4 mmol/L

Cl = 105 mmol/L

Hb = 110 g/L

Glucose = 6.4  mmol/L

Lactate = 4.3 mmol/L

Creatinine = 40 umol/L

 

Questions:

  • Interpret these results
  • How will you treat this patient.