Lab case 375

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18-year-old girl presented after a large quantity of weight losing pills. Her blood gases showed the following:

PH = 7.659

pCO2 = 12.6 mmHg

pO2 = 50.8 mmHg

HCO3 = 14.4 mmol/L

Na = 138 mmol/L

K = 2.8 mmol/L

Cl = 109 mmol/L

Hb = 125 g/L

Glucose = 6.6 mmol/L

Lactate = 9.4 mmol/L

Creatinine = 68 umol/L

Questions:

  1.  Interpret these results
  2.  What are causes of elevated lactate