78 years old woman from a nursing home is brought to your ED by ambulance. She has had severe diarrhoea with fever for 2 days.
Vital signs:
pulse rate= 132,
BP = 84/46,
Temp = 38.5,
RR = 24 (was 18 on the chart).
Blood gas (venous)
PH = 7.29
PaO2 = 40.
PCO2 = 29.
HCO3 = 13
Na = 126
K = 3.1
Cl = 92
Urea = 14.2
Cr = 101
BSL = 5.1
Lactate = 3.3
Questions:
Interpret the blood gas results and describe your treatment
Thanks Dr Basil Muharb