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:
- Interpret these results
- What are the stages of alcohol withdrawals and when do they present?