A 6 year old child, unwell with hypovolaemia and compensated shock
- Metabolic acidosis
High anion gap (19)
Delta gap 0.7 +> mixed HAGMA and NAGMA
Partial compensation (expected 29, actual 32)
2. Negatives:
Normal glucose
Normal Lactate
Normal Creatinine
3. Interpretation:
Sepsis – cause – gastro, UTI, etc
Starvation ketoacidosis
Consider Addisson’s disease