Lab case 245

32 years old aboriginal woman presents to ED with lethargy. She is previously well, and has not seen any medical services in last 10 years. Her VBG  results are as followed:

PH                                   7.25

PCO2                               25

HCO3                              11.7

Hb                                    81

Na                                   140

K                                     5.1

Ca                                   0.81

Cl                                    98

Glu                                 9.6

Lac                                 0.9

 

Questions:

  1. What are the main abnormalities on this VBG?
  2. Her creat is 1842 , and urea of 62. List 3 causes of these findings in an aboriginal woman ?
  3. What are the principles of management?