A 50 year old with nausea, vomiting and backache Respiratory alkalosis
HCO3 of 22 which is consistent with an acute respiratory alkalosis
Symptoms don’t point to obvious cause but pain and hyperventilation must be considered
This patient came in as a priority 1 and was discharged 4 hours later with a diagnosis of Pyelonephritis.
Lactate is high – in the context of this presentation likely spurious/ insignificant.