A 24 year old with fever, vomiting and abdominal pain who is unwell with possible abdominal sepsis.

Her blood results showacute mixed AG and non Ag metabolic acidosis with partial compensation or additional respiratory acidosis

causes include – DKA (her glucose was 24/ ketones 6), normal saline resuscitation (Cl excess) and altered mental state from sepsis/ central cause/ respiratory failure.

lactate elevated form shock/ sepsis

total body potassium depletion

elevated Hb from dehydration

normal creat