text:  Labs on admission from outside hospital   CBC notable for a white count of 21.9 with hematocrit of 36.3 and normal platelets . Chem-7 notable for potassium of 3.2 and bicarbonate of 30 . LFTs show an elevated ALT of 52 and AST of 101 with normal alkaline phosphatase and total bilirubin . Latest arterial blood gas with pH of 7.45   pCO2 43 and pO2 155 on 100 percent oxygen via ventilator . RADIOGRAPHIC STUDIES  Chest x-ray shows right middle lobe   right lower lobe   and left lower lobe infiltrates . EKG shows normal sinus rhythm at 70 beats per minute with normal axis and intervals   borderline LVH . 