Lab Case 84

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A 27 year old female presents to your ED with weakness and vomiting for the last three days.

Her blood results :

pH  7.607  (7.36-7.44)

pCO2  49.7  (35-45 mmHg)

HCO3  50  (24 +/- 2 mmol/l)

BE   22.9

Na  126  (137-145 mmol/l)

K  1.7  (3.5-5 mmol/l)

Cl  67  (99-111 mmol/l)

Glu  6.8  (4-6 mmol/l)

Lactate  2.5   (<2 mmol/l)

Creat  63  (<130 umol/l)

Questions:

  1. Describe three most important abnormalities?
  2. What is your treatment priority?
  3. What is your disposition?  Why?