Blood Gas #3

History: An 85-year-old man is found unconscious at home. He has not been seen for several days. Below is his arterial blood gas on arrival:

pH 7.21 Na 165 mmol/L
pCO2 36 mmHg K 6.2 mmol/L
HCO3 14 mmol/L Cl 136 mmol/L
Lactate 10.3 mmol/L Glucose  39 mmol/L

 

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