A 70 year old woman presents to the Emergency Department with an altered mental state after a collapse at home. Her GCS is 3 with agonal breathing and a palpable pulse.
PMH
- Pulmonery fibrosis
- hypothyroidism
Vitals:
- BP 137/66 mmHg
- T 35.5
- PR 100/min
- O2 sats – poor trace
Her blood results:
pH 6.93
pCO2 132 mmHg (35-45)
HCO3 26 mmol/l (22-26)
BE -10 (-2-+2)
Sodium 145 mmol/l (137-145)
Potassium 4.6 mmol/l (3.5-5)
Chloride 107 mmol/l (99-111)
Creatinine 114 umol/l (<130)
Glucose 8.9 mmol/l (4-6)
Lactate 4.9 mmol/l (<2)
Qusetions:
- Describe the abnormalities
- Interpret the findings
- What would you do?