69 year old male presents to your ED after two days of feeling generally unwell and feeling cold. His wife reports his temperature as being low (35.5) at home.
His history includes previous radical bladder and prostate resection due to bladder cancer. He has a history of recurrent UTI’s and recently completed a course of antibiotics.
Describe and Interpret
pH 7.10
CO2 37
O2 33
HCO3 11
BE -17
Na 133 Hb 121
K 4.9 Plt 225
Cl 109 WCC 13.9 (N 12.2)
Glucose 19.8
Lactate 1.3
Metabolic acidosis with respiratory acidosis.
NAGMA with respiratory acidosis, relative hypokalaemia, elevated BGL and neutrophilia suggestive of acute infection. Evolving sepsis, presumed UTI source.