41 year old man with left hemipareis s/p right brain aneurysm surgery in the past. Now presents with increasing obtundation, increased urination and abdominal discomfort. Labs follow:
On 2l nasal oxygen:
| ABG | |
|---|---|
| pH | 7.41 |
| pCO2 | 47 |
| pO2 | 95 |
| Electrolyte panel | |||||
|---|---|---|---|---|---|
| Na | 128 | Cl | 83 | BUN | 8 |
| K | 4.2 | HCO3 | 24 | creat | 0.7 |
| Blood Sugar | 742 |
Now for the hard part, figure out the acid-base problem. Next I will give you his labs 2 days later, then my interpretation.
