85-year-old man presented with recurrent syncope episodes. His blood gases (on 3 L O2) showed the following:
PH = 6.88
pCO2 = 30 mmHg
pO2 = 124 mmHg
HCO3 = 5.3 mmol/L
Na = 137 mmol/L
K = 4.7 mmol/L
Cl = 112 mmol/L
Hb = 66 g/L
Glucose = 11 mmol/L
Lactate = 15 mmol/L
Creatinine = 313 umol/L
Questions:
- Interpret these results
- How will you manage this patient?