A 32 year old male presents to ED after cutting his right cubital fossa in a suicide attempt. According to the paramedics there was a large amount of blood on scene.
VBG on arrival:
pH 6.98 Na 141 mmol/l
pCO2 82 mmHg K 4.2 mmol/l
HCO3 15 mmHg Cl 105 mmol/l
B/E – 20 Cr 173 umol/l
HB 126 Lactate 15 mmol/l
- Describe and interpret the VBG
- List immediate management priorities