Tingling, weakness, fatigue and abnormal labs

70+ year old man with recent admission for pneumonia.  Discharge on clindamycin and levofloxacin.  Now with progressive weakness, fatigue, tingling and confusion.

142
98
12
256

2.5
32
1.4
6.5

albumin 2.8
pH 7.53
pCO2 39
pO2 69
HCO3 32
What happened in the past 3 weeks?  What diagnostic tests do you want, and what questions do you want to ask?
 

Source: DB's Medical Rants - January 21, 2016 Category: Internal Medicine Authors: rcentor Tags: Acid-Base & Lytes Attending Rounds Source Type: blogs