With autumn knocking on the doors and the weather is getting cold, a young woman decided to bring the outdoor heater inside her bedroom. Her children woke up on strange noises coming from their mother’s room. The mother was found in her bed, seizing.

On Arrival to ED Blood was taken. Her blood gas (Venous) showed the following

PH = 7.38

pCO2 = 43 mmHg

PO2 = 10.6 mmHg

HCO3 = 25.3 mmol/L

FCOHb = 35 %

FMetHb = 1.1 %

Na = 142 mmol/L

K = 2.5 mmol/L

Cl = 105 mmol/L

Glucose = 6.8 mmol/L

Lactate = 3.6 mmol/L

Cr = 65 Micromol/L

Questions:

1. Interpret these blood gas findings
2. Explain the potential causes of these findings
3. What is the management of this case