question about acidotic pts and labs

[crystalchen]

so I had a pt last night, lab called for his morning labs: BG 17, CO2 8, phrosphate 12.... he was A+O X3, has been SOB for 2 days but the team did not do anything, hx of sleep apnea, was gonna get a CPEP to use at home, and he is a dialysis pt. I am wondering what can those labs effect him.... he was transfered to ICU after the doctor came down, and the doctor said he had never seen pts with these lab values still alive....... His vitals are all stable, and he is not in acute distress. They then did an ABG and his lactate is like 16. Thanks in advance!!

[XingtheBBB, BSN, RN]

tried to link to a site and can't

[crystalchen]

Thank Xing! I will need to look at the curve again, this always confuse me during school and now.

I dont remember his pH, I will go to work tomorrow night and find out more about his labs.

I found an interesting graph to explain it: here is shows what you just corrected yourself that in acidic body, blood doesn't combine to O2 and release more O2 to the muscles where needed, am I explaining right? so there is not enough O2 in blood and then it becomes more acidic. in his ESRD kidney not working so no base can be released to blood to adjust this imbalance? Here is the graph

[netglow, ASN, RN]

Ha. Very Ha XingtheBBB.

I am sitting here with my A&P book opened. I stopped at that previous post. I thought OMG, I better look this over because I am forgetting some important things!