A 68 year old man presents with 3 days of being generally unwell with shortness of breath, sweating and abdominal pain.

Vital Signs:

BP 90/60

PR 110/min

Sats 88% RA

RR 36/min

His venous blood results are:

pH  7.10  (7.36-7.44)

pCO2  70mmHg (35-45)

pO2   20mmHg

HCO3  20  mmol/l  (24+-2)

BE  -8

Glucose  40  mmol/l  (4-6)

Lactate   5.7   (<2)

Na   126  mmol/l  (137-145)

K   7.2  mmol/l  (3.5-5)

Cl   96 mmol/l  (99-111)

Urea   40.5  mmol/l  (3-8)

Creat   270  umol/l  (40-120)

Trop  0.27  (<0.4)

Questions:

1. Describe the abnormalities

2. Interpret the results

3.  What are your management priorities?

Thanks Artur!