66 year old female presents complaining of anuria for the past 48 hours. She reports nausea and vomiting over the last week. She has a background history of IHD, having undergone a CABG 6 weeks ago. She also has Type 2 DM on Metformin and Gliclazide. The patient baseline Cr is 150umol/l
ABG on FiO2 0.4
pH 6.941 Na 139 mmol/l
pCO2 9.5 mmHg K 5.7mmol/l
pO2 168mmHg Cl 105mmol/l
HCO3 1.9mmol/l Glu 5.5 mmol/l
B/E -29.3 Cr 659 umol/l
Lactate 18 mmol/l Hb 94g/l
- Describe and Interpret the ABG
- Name the types of lactic acidosis and give examples of each.