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.