1/14/1982
MRN:
346889
Weight:
160lb or 73kg
Admitting Diagnosis:
Overdose
Admitting Physician:
Marilyn Jenson, MD
None
None
L Knee Surgery
| Lab Result | Tested Value | Normal Value Range |
|---|---|---|
| Glucose | 90 | 70-100 |
| BUN | 7 | 5-20 |
| Creatinine | 0.8 | 0.5-1.5 |
| Sodium | 136 | 135-145 |
| Potassium | 3.6 | 3.5-5.0 |
| Chloride | 98 | 95-105 |
| Calcium | 10.1 | 9-11 |
| Lab Result | Tested Value | Normal Value Range |
|---|---|---|
| WBC | 6.7 | 4.8-10.8 |
| RBC | 6 | 4.7-6.1 |
| HGB | 15.1 | 12.6-17.4 |
| HCT | 40 | 37-51 |
| Time | 2000 | 2200 |
|---|---|---|
| Heart Rate | 89 | 145 |
| Blood Pressure | 117/74 | 80/56 |
| Respiratory Rate | 16 | 8 |
| Pulse Ox | 98% on RA | 90% on RA |
| Temperature | 98.6 Oral | NOT RECORDED |
| Pain | 0 | NOT RECORDED |
| Time | Provider | Notes |
|---|---|---|
| 2000 | Marilyn Jenson, MD | Patient presents to the ED being brought in by husband in their car. Husband runs to ED triage desk yelling, "please help my wife, she is in the car and I think she stopped breathing." ED staff ran out to car with stretcher and pulled patient from car. Patient pale with agonal respirations, pulse present. Patient brought to triage, intranasal narcan given. Pt then became responsive, waking up, becoming combative until husband calmed her down. Pt now resting, breathing on own on monitor. Vital signs now within normal limits after narcan. When asked if patient was suicidal she declined to reply and shrugged her shoulders. Pt states she took too much of her pain medication which was prescribed after recent L knee surgery. Awaiting psychiatric consult. |
| 2200 | John Terrill, RN | Noted decrease in patient respiratory rate and pulse ox. 20G IVR inserted in R FA. Pt drowsy when trying to arouse them to voice, making incomprehensible sounds. |