Lab case 420

54-year-old asthmatic patient presented with multiple episodes of vomiting. Her pulse-rate was 110 and blood pressure was 96/54. Her blood gases showed the following:

PH = 7.24

pCO2 = 33 mmHg

pO2 = 51 mmHg

HCO3 = 16 mmol/L

Hb = 146 g/L

Na = 128 mmol/L

K = 6.3 mmol/L

Cl = 105 mmol/L

Glucose = 3.4 mmol/L

Lactate = 3.4 mmol/L

Creatinine = 107 umol/L

Interpret these results