43 year old lady presented with atypical chest pain. She had background of hypertension, fatigue and muscles cramps.
Initial Bloods revealed Normal troponin, K = 2.8, Cl = 93, HCO3 = 33.
Her blood gases results were:
PH = 7.47
PO2 = 49
PCO2 = 38
HCO3 = 34
Na = 144
Cl = 91
K = 2.6
Cr = 71
Questions:
- Interpret her blood gas results
- What is the differential diagnosis?
- What is the management approach to this case?