70 year old man brought to ED with ROSC after cardiac arrest. He remained bradycardic after multiple doses of adrenalin. His bradycardia responded to a single dose of atropine. Blood gases for this patient showed the following:
PH = 6.71
pCO2 = 125 mmHg
pO2 = 43 mmHg
HCO3 = 15 mmol/L
Na = 141 mmol/L
K = 7.1 mmol/L
Cl = 109 mmol/L
Creatinine = 536 umol/L
Glucose = 4.9 mmol/L
Lactate = 9.6 mmol/L
Questions:
- Interpret these results
- What are the effects of severe acidosis on the body?