Date / 8-11-13 / Time / 16:58 / Surname / Edwards / Pets name / Poppii

pHBE (mmol/L) - calculatedHCO3- (mmol/L)-calculated

<7.1 / 7.1-7.35 / 7.35-7.45 / >7.45
7.395
< -3 / -3 to 3 / > 3
-3.3
< 15 / 15 – 23 / > 23
21.5

pCO2 (mmHG)TCO2(mmol/L)-calculated (significance unknown)Cl-

< 35 / 35-38 / > 38
35.2
< ? / ? / > ?
< 17 / 17-25 / > 25
22.6

Anion gap (all mmol/L)

[Na+] / + / [K+] / - / [Cl-] / + / [HCO3-]
+ / - / +
-
= 10

Anion Gap result (mmol/L)Lactate (mmol/L)

<2.9 / 3-5 / 5-8 / >8
1.62
<8 / 8 - 25 / >25
Low / Normal / High

There is or There is Not an imbalance and it would seem the primary process we are dealing with is:

Acidosis / Metabolic / High Anion Gap & Normal Chloride / Ethylene glycol; Salicylate; A toxin; DKA; Renal failure; Lactic acidosis* (explored further)
Normal Anion Gap & Hyper Chloride / Diarrhoea; RTA; CA; AmCl; AA’s; Chronic Resp comp; Dilutional; HypoAC
Respiratory
Alkalosis / Metabolic / Chloride responsive / Vomiting; Loop Diuretics
Chloride resistant / Primary hyperaldosteronism; HyperAC
Respiratory

Lactic acidosis* (if present is explored further):

Lactic acidosis / Hypoxic / O2 demand (Exercise, convulsion) O2 available (shock, CO poison; PCV<10%; L ventricle F; Pulmonary oedema; Hypoxemia)
Non-hypoxic / Drugs; DM; Liver F; Neoplasia; Sepsis; Renal F; Hypoglycemia;

Electrolytes

Na+(mmol/L)K+(mmol/L)iCa2+

< 3.4 / 3.4 to 5.5 / 5.5-9 / >9
4.8
< 1.12 / 1.12 to 1.4 / > 1.4
1.15
< 139 / 139 to150 / > 150
131
< 25 / 25-27 / > 27
27.2

Na/K

Renal parameters

Creatinine (umol/L)

Stage 1
Pre-renal (<125) / Stage 2
125 to 180 / Stage 3
180 to 440 / Stage 4
>440
<27

Other parameters

Glucose (mmol/l)Hct (%)Hb (g/dl) - calculated

< 3.33 / 3.33 -6.4 / > 6.4
37.
< 35 / 35 to 50 / >50
49
< 12 / 12 - 17 / > 17
16
.8

Any comments