Lab case 290

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75 year old lady presented with reduced level of consciousness.

Her venous blood gas showed the following:

PH = 7.31

PO2 = 62 mmHg (on 6L O2)

PCO2 = 51 mmHg

HCO3 = 21 mmol/L

Na = 133  mmol/L

K = 3.6 mmol/L

Cl = 100 mmol/L

BSL = 52 mmol/L

Cr = 154 nmol/L

Hb = 171 g/dl

Lactate = 4.1 mmol/L

Urea = 23 mmol/L

Questions:

  1. Interpret these results
  2. How will you manage this case?