A 55 year old man presents with a sudden onset headache and shortness of breath.
His venous blood gas shows:
pH 7.57 (7.36-7.44)
pCO2 25 (37-50 mmHg)
HCO3 24 (22-28 mmol/l)
BE 3 (-3–+3)
Sodium 136 (136-146 mmol/l)
Potassium 3.3 (3.5-5 mmol/l)
Chloride 105 (99-111 mmol/l)
Glucose 6.9 (3.0-5.4 mmol/l)
Lactate 1.7 (<1.5 mmol/l)
Questions:
List four abnormalities
List one relevant negative
Give a reasonable interpretation and explanation for the abnormalities