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Lab Result | Tested Value | Normal Value Range |
---|---|---|
Glucose | 120 | 70-100 |
BUN | 15 | 5-20 |
Creatinine | 0.8 | 0.5-1.5 |
Sodium | 136 | 135-145 |
Potassium | 3.8 | 3.5-5.0 |
Chloride | 98 | 95-105 |
Calcium | 10 | 9-11 |
Lab Result | Tested Value | Normal Value Range |
---|---|---|
WBC | 9.0 | 4.8-10.8 |
RBC | 5.0 | 4.7-6.1 |
HGB | 13.1 | 12.6-17.4 |
HCT | 40 | 37-51 |
MCV | 84 | 80-94 |
MCH | 28 | 27-31 |
MCHC | 35 | 33-37 |
Platelets | 205 | 130-400 |
Segmented Neutrophils % | 68 | 50-70 |
Neutrophils, bands | 0 | 0-5 |
Lymphocytes % | 22 | 20-40 |
Monocytes % | 7 | 0-15 |
Eosinophils % | 3 | 0-6 |
Basophils % | 1 | 0-2 |
Reticulocytes | 0 | 0-1 |
Lab Result | Tested Value | Normal Value Range |
---|---|---|
PT | 10 | 7.6-10.6 |
PTT | 28 | 26-38 |
Time | 2000 | 0000 | 0400 |
---|---|---|---|
Heart Rate | 119 | 128 | 138 |
Blood Pressure | 120/54 | 130/89 | 140/95 |
Respiratory Rate | 16 | 12 | 10 |
Pulse Ox | 98% on RA | 95% on RA | 94% on RA |
Temperature | 99 Oral | 99.5 Oral | 98.0 Oral |
ICP and Neuro Status | PERRLA 3mm brisk, GCS=15, ICP=15 | PERRLA 5mm brisk, GCS=14, ICP=18 | PERRLA 6mm sluggish, GCS=6, ICP=20 |
Time | Provider | Notes |
---|---|---|
2000 | Amy Linden, MD | 23 yo female who was hiking and climbed up on some rocks to take look at the view. She slipped and hit her head on the rocks. She came into the ED via EMS with C-Collar in place. Alert and oriented. But CT revealed a large subdural hematoma. She was taken to the OR for evacuation and came to the ICU with a ventriculostomy in place. Admitted to the ICU for observation post op, subdural evacuation and ventriculostomy placement. |
0000 | Jen Carroll, RN | Dr. Kyle Jones MD from neurosurgery aware of clot in venticulostomy tubing, no further orders at this time. MD also aware of GCS and ICP change and again no orders. Request neurosurgery come to bedside to evaluate patient. |
0400 | Jen Carroll, RN | Called intensivist to bedside for change in patient condition. Neurosurgery stat paged by intensivist, now at bedside. Neurosurgery flushed clot out of line, ICP reading now 54. |