A 39 year old man presents to your ED with altered mental state.
His blood results show:
pH 6.884
pCO2 17.7 mmHg (35-45)
HCO3 3.2 (24+/-2)
BE -31
Na 131 mmol/l (137-145)
K 5.9 mmol/l (3.5-5)
Cl 103 mmol/l (99-111)
Glu 24.3 mmol/l (4-6)
Lactate 2.3 mmol/l (<2)
Creat 89 (<130)
Questions:
- Describe and interpret
- What are the key feature in airway/ breathing management in this patient?