Fig 221.
63 year old binge drinker presenting with abdominal distension and 3-day history of vomiting. The biochemical profile includes Na 126, K 3.4, creatinine 385, urea 32, bilirubin 14, albumin 35, GGT 60, ALT 54, ALP 103, amylase 102, lipase 265, Ca 0.67, Mg 1.06. With FIO2 0.28, PO2 is 57, PCO2 37 and pH 7.45. CXR is clear. He is admitted to CCU. Why?