Lab case 421

42 year old alcoholic man, with type 2 DM. Presented with alcohol withdrawal symptoms. His blood gas (VBG) showed the following:

PH = 7.599

PCO2 = 22 mmHg

PO2 = 58 mmHg

HCO3 = 22 mmol/L

Na = 134 mmol/L

K = 4.1 mmol/L

Cl = 89 mmol/L

Glucose = 22 mmol/L

Lactate = 6.5 mmol/L

Creatinine = 69 umol/L

Questions:

  1. Interpret these results
  2. What are the stages of alcohol withdrawals and when do they present?