18 year-old-girl presented to ED with reduced level of consciousness. She is known to by drugs online.
Her venous blood gases showed the following:
PH = 7.25
pCO2 = 58 mmHg
pO2 = 61 mmHg
HCO3 = 24 mmol/L
Na = 143 mmol/L
K = 3.6 mmol/L
Cl = 106 mmol/L
Hb = 146 g/L
Glucose = 3.3 mmol/L
Lactate = 0.9 mmol/L
Creatinine = 58 umol/L
Questions:
- Interpret these results
- How will you manage this patient?