A 30 year old alcoholic presents with reduced oral intake and vomiting.
Her blood results indicate:mild acidosis – triple acid base disorder
AG 19 which is slightly elevated, with increased ketones
compensation – additional respiratory acidosis
delta ratio of 0.5 – additional non anion gap with elevated chloride
mild hypokalaemia
elevated lipase – ??chronic/ acute on chronic pancreatitis
Starvation keto acidosis/ alcoholic ketoacidosis – requires Insulin/ dextrose infusion to correct acid base disorder.