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