When Is A Normal Potassium A Bad Thing?

History

LAST WEEK I TRANSPORTED A PATIENT WHO WAS IN PROFOUND METABOLIC ACIDOSIS.

ANION GAP OF 39 AND A LACTATE OF 22

NO BLOOD GAS WAS AVAILABLE SO I DON'T WHAT HIS PH OR BICARB WAS BUT HIS CO2 WAS 7.9.  THIS HAD PROBABLY BEEN GOING ON FOR A WHILE.

ADDITIONALLY, THE PATIENT WAS A KNOWN ALCOHOLIC WITH AN AMMONIA LEVEL OF 387.

I'M GUESSING HIS PH WAS CLOSE TO 7 OR LOWER.

Discussion Question

THE PATIENTS POTASSIUM WAS 3.9.  NORMAL RANGE RIGHT.

CONSIDERING THE INFORMATION I'VE GIVEN YOU, IS THIS POTASSIUM GOOD OR BAD.

SINCE WE KNOW PH IS "KING" WHEN IT COMES TO MANAGING A PATIENTS HOMEOSTASIS, WOULD YOU CORRECT THE PATIENTS ACIDOSIS DURING TRANSPORT?

ARE THERE SPECIAL CONSIDERATIONS YOU NEED TO CONSIDER IN MANAGING THE PATIENTS ACIDOSIS?

GIVE YOUR THOUGHTS AND REASON WHY YOU THINK THE WAY YOU DO IN THE COMMENT SECTION.