A 14 year old boy is brought in to your ED by his mum. He has had a bout of nausea and vomiting earlier that day. He is noted by the triage nurse to be slightly drowsy and hyperventilating.
His blood results show:
pH 6.750 (7.36-7.44)
pCO2 31.4 (35-45 mmHg)
HCO3 4.1 (22-26 mmol/l)
Hb 175 g/l
Na 142 (137-145 mmol/l)
K 3.2 (3.5-5 mmol/l)
Cl 115 (99-111 mmol/l)
Glu 26 (4-6 mmol/l)
Lac 3.9 (<2 mmol/l)
Creat 52 (<130 umol/l)
Describe and Interpret the blood tests
What are your Challenges in this patient?
What are the key aspects of management of this patient?