Lab case 443

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20 year-year-old man brought to ED after a car accident. His blood pressure was 80/41 and he was unconscious. His blood gases showed the following:

PH = 6.9

pCO2 = 72 mmHg

pO2 = 23 mmHg

HCO3 = 11 mmHg

Na = 144 mmol/L

K = 3.1 mmol/L

Cl = 105 mmol/L

Glucose = 12.2 mmol/L

Lactate = 17 mmol/L

Creatinine = 126 umol/L

Hb = 115 g/L

 

Questions:

  1. Interpret these results
  2. What is the significance of these results and its effect on the resuscitation of this patient?