25-year-old police academy student brought to ED due to collapse in training. His heart rate was 170/min, Blood Pressure was 100/55 and his temperature was 39.5.
His venous blood gases showed the following:
PH = 7.349
pCO2 = 33 mmHg
HCO3 = 18 mmol/L
Hb = 141 g/L
Na = 144 mmol/L
K = 4.3 mmol/L
Cl = 112 mmol/L
Glucose = 6.9 mmol/L
Lactate = 9.7 mmol/L
Creatinine = 149 umol/L
Questions:
- Interpret these results
- What are the potential causes of his collapse
- How will you manage this case