80 year old man presented with shortness of breath. This patient had history of CHF and COPD. His venous blood gases showed the following
- PH = 7.409
- pCO2 = 54 mmHg
- pO2 = 38 mmHg
- HCO3 = 33.3 mmol/L
- Hb = 86 g/L
- Na = 135 mmol/L
- K = 3.7 mmol/L
- Cl = 91 mmol/L
- Glucose = 11.5 mmol/L
- Lactate = 1.5 mmol/L
- Creatinine = 139 umol/L
Questions:
- Interpret these results
- What are the causes of these results