Case Presentation Lab Results

B. CBC Hgb Hct MCV MCHC RBC WBC Segmenters Lymphocytes Eosinophils Basophils Platelets RBC morphology

120 27.7 84 36 4.3 13.3 82 17 1 normal normochromic normocytic

Reference 120 g/L 40-54% 80-94% 32-37% 4.5-5.0 x 1012/L 5-10 x 109/L 40-75% 20-45% 1-4%

121 36 84 33 4.2 14.9 73 21 6

140-440 x 109/L

Increased normochromic normocytic

The patient has a low hemoglobin, low hematocrit, low MCV but high MCHC, RBC is slightly lower than normal. WBC is elevated due to the presence of bacterial pneumonia, platelets are normal size and shape of red blood cells is normal as well. Same interpretation on the 2nd test except for increased platelet count. C. Coagulation Studies Prothrombin Time Control INR % Activity Partial Thromboplastin Time Control

12.6 12.0 1.05 93.5 25.8 30.0

Prothrombin time is normal. Partial thromboplastin Time is slightly delayed. D. Arterial Blood Gases pH PCO2 PO2 (arterial) O2 Saturation HCO3 Base Excess Total CO2 FiO2 PO2 (venous) Temp RR

7.403 31.5 130 99.1% 20.0 -5.2 21.0 2 LPM 35.5 36.1 36

Reference 7.35-7.45 35-45 mmHg 80-100 mmHg 94-100% 22-26 meq/L +/-2

37 ˚ C 12-20

Patient’s arterial PO2 is due to the respirator attached to the patient which 2L of O2 /min. decrease in PCO2 indicates respiratory alkalosis while the decrease in HCO3 indicates metabolic acidosis. pH level is normal but is slightly on the alkalinic side. Therefore, the finding is: Fully compensated respiratory alkalosis without hypoxemia. E. Lipids Total Cholesterol HDL Triglyceride LDL Total Cholesterol/ HDL ratio

6.5 1.5 1.4 4.4 4.3

Reference 3.4-6.1 mmo1/L 0.6-2.1 mmo1/L Up to 2.4 mmo1/L Up to 3.9 mmo1/L

Patient’s total cholesterol exceeded the normal value which may cause fatty build up if not burned