Lab Case 81

A 35 year old man presents to your ED with severe abdominal pain for the last 6 hours.  His Lipase is 3158.

Blood gas:

pH 7.321

pCO2  55  mmHg

HCO3  22 mmHg

Na  145  (137-145 mmol/l)

K  3.6  (3.5-5 mmol/l)

Cl  109  (99-111 mmol/l)

Glu  6.5  (3.-6  mmol/l)

Lac  1.6  (<2 mmol/l)

Creat  73  ((<130  umol/l)

Describe and interpret the blood gas results