Blood Gas # 29

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History: A 39 year old highly functioning professional female is brought to ED complaining of abdominal pain and nausea.  She has a VBG performed. pH 7.29 Na 138 mmol/L pCO2 28 K 1.4 mmol/L pO2 51 Cl 111 mmol/L HCO3 14 Creatinine 126 mmol/L Glucose 5.7 mmol/L Lactate 1.6 mmol/L Her baseline creatinine was 62 three months ago.