Lab case 419

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32-year-old man presented to ED with an exacerbation of his asthma. On 3L O2, his arterial blood gases showed the following:

PH = 7.32

PO2 = 101  mmHg

PCO2 = 48 mmHg

HCO3 = 24 mmol/L

Na = 140 mmol/L

K = 3.4 mmol/L

Cl = 105 mmol/L

Lactate = 2.1 mmol/L

BSL = 5.2 mmol/L

Cr = 48 umol/L

Questions:

  1. Interpret these blood gases
  2. what will you your approach to manage this case