62 year old lady with history of type 2 DM, presented with vomiting and dizziness. Her VBG showed the following:
PH = 7.363
PCO2 = 30.3 mmHg
PO2 = 18.4 mmHg
HCO3 = 16.8 mmol/L
Na = 124 mmol/L
K = 3.5 mmol/L
Cl = 91 mmol/L
Glucose = 26 mmol/L
Hb = 55 g/L
Lactate = 8.6 mmol/L
Creatinine = 60 umol/L
Questions:
- Interpret these results
- How will you manage this patient