08/20/2000
MRN:
991722
Weight:
130lb
Admitting Diagnosis:
DKA
Admitting Physician:
Wilson James, MD
None
Type 1 Diabetes
None
| Lab Result | Tested Value | Normal Value Range |
|---|---|---|
| Glucose | 350 | 70-100 |
| Hemoglobin A1c | 9.5% | <5.7% |
| BUN | 21 | 5-20 |
| Creatinine | 1.9 | 0.5-1.5 |
| Sodium | 146 | 135-145 |
| Potassium | 6.3 | 3.5-5.0 |
| Chloride | 105 | 95-105 |
| Calcium | 9.9 | 9-11 |
| Lab Result | Tested Value | Normal Value Range |
|---|---|---|
| WBC | 11.1 | 4.8-10.8 |
| RBC | 6.2 | 4.7-6.1 |
| HGB | 16.8 | 12.6-17.4 |
| HCT | 51 | 37-51 |
| MCV | 82 | 80-94 |
| MCH | 29 | 27-31 |
| MCHC | 35 | 33-37 |
| Platelets | 350 | 130-400 |
| Segmented Neutrophils % | 56 | 50-70 |
| Neutrophils, bands | 0 | 0-5 |
| Lymphocytes % | 27 | 20-40 |
| Monocytes % | 6 | 0-15 |
| Eosinophils % | 2 | 0-6 |
| Basophils % | 1 | 0-2 |
| Reticulocytes | 0 | 0-1 |
| Lab Result | Tested Value | Normal Value Range |
|---|---|---|
| PT | 10.4 | 7.6-10.6 |
| PTT | 35 | 26-38 |
| D-Dimer | <0.50 | <0.50 |
| Lab Result | Tested Value | Normal Value Range |
|---|---|---|
| AST | 25 | 5-40 |
| ALT | 29 | 7-56 |
| Time | 2000 | 0000 | 0400 |
|---|---|---|---|
| Heart Rate | 114 | 110 | 120 |
| Blood Pressure | 100/75 | 99/78 | 92/71 |
| Respiratory Rate | 30 | 28 | 29 |
| Pulse Ox | 96% on 2L NC | 98% on 2L NC | 97% on 2L NC |
| Temperature | 98.6 Oral | NOT RECORDED | NOT RECORDED |
| Time | Provider | Notes |
|---|---|---|
| 2000 | Wilson James, MD | 20 yo female presenting to the ED with lethargy and nausea x 2 days, getting worse. Pt reports living at college and having trouble managing type 1 diabetes since moving away from parents for school. Pt with fruity smelling breath, awaiting ABG. Will place orders for fluids and insulin and plan on insulin drip and ICU admit. Pt on cardiac monitor. |