A 30 year old man is brought to your ED after being found confused at a party. He has a history of anxiety and depression and is on medication.
Temp 39.5
BP 100/60
RR 30/min
PR 130/min
O2 sats 95 RA
His blood gas shows:
pH 7.04
pCO2 65 mmHg
HCO3 8 mmol/l
BE -15
Lactate 10
K 8.5 mmol/l
Na 155 mmol/l
Cl 115 mmol/l
Hb 143 g/l
Describe and interpret the blood tests
List the causes
Describe the treatment priorities