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:
- Interpret these results
- What are causes of elevated lactate