70 year old man with vomiting, abdominal pain and tachycardia
- Blood gas:
pH normal
high HCO3
high CO2
high lactate
compensated metabolic alkalosis
dehydration
hyponatraemia and hypchloraemia secondary to vomiting
2. Renal failure – probably acute, potassium is normal but actual may be higher due to shift
Liver impairment – high bilirubin, ALT and GGT – ? secondary to alcohol abuse