February 11, 2015

Blood Chemistry
Parameter
Carcinoembryonic
Antigen (CEA)

Reference Unit
0.00 5.00 ng/mL

Result Unit
1.85 ng/mL

Interpretation
Normal

Roentgenographic Report
Chest PA:

No significant interval change in the left PTB densities with signs of volume loss, likely
stable.
Lungs remain hyperaerated.
Pulmonary vascular markings are within normal limits.
Heart remains unenlarged.

Blood Chemistry
Parameter
BUN

Reference Unit
Male: 3.0 9.2
mmol/L
Female: 2.5 7.2
mmol/L

Creatinine

Male: 63.60 110.50

umol/L
Female: 50.40 98.0
umol/L
35 60 g/L

52.40 mmol/L

0 55 U/L

35.0 U/L

Albumin

SGPT/ALT

Result Unit
4.4 mmol/L

39.0 g/L

Interpretation
This test measures the
amount of urea
nitrogen in the blood.
(nlm.nih.gov)
This test indicates the
kidney function
(Hopkins,pp.22)
Liver enzyme which
helps to maintain
osmotic pressure
(Hopkins, pp2)
Detects liver disease
(labtestsonline.edu)

Blood Chemistry
Parameter
Sodium

Reference Unit
136 145 mmol/L

Result Unit
142.1 mmol/L

Interpretation
It regulates extra
cellular fluid volume
and distribution,

Potassium

3.50 5.10 mmol/L

3.94 mmol/L

maintaining blood
volume, transmitting
nerve impulses and
contracting muscles
(Kozier, Erb, Berman
& Snyder,Vol. 2 8th
ed., pp 800)
Skeletal and smooth
muscle function,
regulating acid-base
balance, transmitting
nerve and other
electrical impulses
(Kozier, Erb, Berman
& Snyder,Vol. 2 8th
ed., pp 800)

Hematology Test
Parameter

Reference Unit

Result Unit

WBC Count

5.00 10.00 x ^9/L

3.82

Neutrophils

0.550 0.650

0.309

Lymphocytes

0.250 0.350

0.495

Monocytes

0.020 0.060

0.128

Eosinophils

0.030 0.050

0.063

Interpretation
Autoimmune disease
(Kozier, Erb, Berman &
Snyder,Vol. 2 8th ed., pp
800)
Some drugs (e.g.
antibiotics)
(Kozier, Erb, Berman &
Snyder,Vol. 2 8th ed., pp
800)
Chronic bacterial
infection
(Kozier, Erb, Berman &
Snyder,Vol. 2 8th ed., pp
800)
Tuberculosis ( Kozier,
Erb, Berman &
Snyder,Vol. 2 8th ed., pp
800)
Stress ( Kozier, Erb,
Berman & Snyder,Vol.

2 8th ed., pp 800)

Basophils

0.000 0.010

0.005

RBC Count

4.50 5.50 x
10^12/L

3.63

Hemoglobin (Hgb)

120 140 g/L

114

0.370 0.470 L/L

0.348

MCV

80.0 100.0 fL

95.9

MCH

27.0 33.0 pg

31.4

MCHC

320 380 g/L

328

RDW-CV

11.0 16.0 %

13.2

RDW-SD

35.0 = 56.0 fL

47.5

160 380 x 10^9/L

108

Hematocrit (Hct)

Platelet Count

Contains histamine, part

of hypersensitivity
(Brunner & Suddarths,
Vol 1, 10th ed., pp 869)
Anemia ( Kozier, Erb,
Berman & Snyder,Vol.
2 8th ed., pp 800)
Anemia ( Kozier, Erb,
Berman & Snyder,Vol.
2 8th ed., pp 800)
Anemia ( Kozier, Erb,
Berman & Snyder,Vol.
2 8th ed., pp 800)
Average red blood cell
size. (nlm.nih.gov)
Useful to diagnose type
of anemia (Hopkins,
pp.20)
To know average
weight of hemoglobin
that is present inside a
red blood cell.
(medicalhealthtests.com
)
Determined by taking
the standard deviation
of RDW-SD and the
mean corpuscular
volume (MCV) number.
(med-health.net)
Actual measure of the
red blood cell. It is
derived by finding the
width in fluid Liters at
the 20% height of the
distribution histogram.
(med-health.net)
Infection, bleeding
( Kozier, Erb, Berman

MPV

6.5 12.0 fL

10.4

POW

9.0 17.0 fL

10.5

& Snyder,Vol. 2 8th ed.,

pp 800)
Measures the
volume/amount of the
platelet. (webmd.com)
PDW measures the
range of platelet size in
a sample of blood.
(patient.co.uk)

Prothrombine Time Test

Prothrombin time
Test
Percent Activity
INR
Control
Interpretation:

Result Unit
13.5 seconds
95%
1.03
13.2 seconds
February 14, 2015

Hematology Test
Parameter

Reference Unit

Result Unit

WBC Count

5.00 10.00 x ^9/L

10.00

Neutrophils

0.550 0.650

0.803

Lymphocytes

0.250 0.350

0.106

Monocytes

0.020 0.060

0.089

Interpretation
Autoimmune disease
(Kozier, Erb, Berman &
Snyder,Vol. 2 8th ed., pp
800)
Some drugs (e.g.
antibiotics)
(Kozier, Erb, Berman &
Snyder,Vol. 2 8th ed., pp
800)
Chronic bacterial
infection
(Kozier, Erb, Berman &
Snyder,Vol. 2 8th ed., pp
800)
Tuberculosis
(Kozier, Erb, Berman &

Eosinophils

0.030 0.050

0.001

Basophils

0.000 0.010

0.001

RBC Count

4.50 5.50 x
10^12/L

3.80

Hemoglobin (Hgb)

120 140 g/L

118

0.370 0.470 L/L

0.363

MCV

80.0 100.0 fL

95.5

MCH

27.0 33.0 pg

31.1

MCHC

320 380 g/L

325

RDW-CV

11.0 16.0 %

12.9

RDW-SD

35.0 = 56.0 fL

45.0

Hematocrit (Hct)

Snyder,Vol. 2 8th ed., pp

800)
Stress (Kozier, Erb,
Berman & Snyder,Vol.
2 8th ed., pp 800)
Contains histamine, part
of hypersensitivity
(Brunner & Suddarths,
Vol 1, 10th ed., pp 869)
Anemia ( Kozier, Erb,
Berman & Snyder,Vol.
2 8th ed., pp 800)
Blood Loss ( Kozier,
Erb, Berman &
Snyder,Vol. 2 8th ed., pp
800)
Blood Loss ( Kozier,
Erb, Berman &
Snyder,Vol. 2 8th ed., pp
800)
Average red blood cell
size. (nlm.nih.gov)
Useful to diagnose type
of anemia (Hopkins, pp.
20)
To know average
weight of hemoglobin
that is present inside a
red blood cell.
(medicalhealthtests.com
)
Determined by taking
the standard deviation
of RDW-SD and the
mean corpuscular
volume (MCV) number.
(med-health.net)
Actual measure of the
red blood cell. It is
derived by finding the
width in fluid Liters at

Platelet Count

the 20% height of the

distribution histogram.
(med-health.net)
Infection, bleeding
( Kozier, Erb, Berman
& Snyder,Vol. 2 8th ed.,
pp 800)
Measures the
volume/amount of the
platelet. (webmd.com)
PDW measures the
range of platelet size in
a sample of blood.
(patient.co.uk)

160 380 x 10^9/L

110

MPV

6.5 12.0 fL

10.4

POW

9.0 17.0 fL

11.0

Reference Unit
Female: 50.40 98.0
umol/L

Result Unit
62.70 mmol/L

Interpretation
This test indicates the
kidney function
(Hopkins,pp.22)

Reference Unit
136 145 mmol/L

Result Unit
142.1 mmol/L

3.50 5.10 mmol/L

3.94 mmol/L

Interpretation
It regulates extra
cellular fluid volume
and distribution,
maintaining blood
volume, transmitting
nerve impulses and
contracting muscles
(Kozier, Erb, Berman
& Snyder,Vol. 2 8th
ed., pp 800)
Skeletal and smooth
muscle function,

Blood Chemistry
Parameter
Creatinine

Blood Chemistry
Parameter
Sodium

Potassium

Ionized Calcium

1.12 1.52 mmol/L

1.10 mmol/L

Magnesium

0.56 1.07 mmol/L

0.59 mmol/L

regulating acid-base
balance, transmitting
nerve and other
electrical impulses
(Kozier, Erb, Berman
& Snyder,Vol. 2 8th
ed., pp 800)
Decreased amount of
Calcium may indicate
malabsorption,
alkalosis, vitamin D
deficiency, massive
subcutaneous
infection. (Brunner &
Suddarths, Vol 1, 10th
ed., pp 262)
Intracellular
metabolism, operating
sodium-potassium
pump, relaxing
muscle contractions
(Kozier, Erb, Berman
& Snyder,Vol. 2 8th
ed., pp 800)

Roentgenographic Report
Chest #3

Shows interval development of streaky densities in the right paracardiac area, suggestive
of pneumonic infiltrates.
No significant interval change in the left upper lobePTB densities with cicatricial
atelectasis.
Bullous changes are noted in the left lung.
Lungs remain hyperaerated.
ET tube is now in place, tip of which appears at the level of carina suggest repositioning.
Chest leads and tubular drain is noted in the right upper quadrant of abdomen.

Time: 6:30 PM
REFERENCE RANGE

ACTUAL FINDING

pH

7.35 7.45

7.255

pCO2

35 45 mmHg

27.9 mmHg

pO2

80 100 mmHg

241.4 mmHg

HCO3

22 26 mEq/L

12.0 mEq/L

O2 sat

95 100%

99.6%

Interpretation: Metabolic Acidosis

Time: 5:03 PM
REFERENCE RANGE

ACTUAL FINDING

pH

7.35 7.45

7.028

pCO2

35 45 mmHg

68.9 mmHg

pO2

80 100 mmHg

523.0 mmHg

HCO3

22 26 mEq/L

17.3 mEq/L

O2 sat

95 100%

99.9%

Interpretation: Respiratory Acidosis

Time: 10:16 PM
REFERENCE RANGE

ACTUAL FINDING

pH

7.35 7.45

7.173

pCO2

35 45 mmHg

47.8 mmHg

pO2

80 100 mmHg

111.2 mmHg

HCO3

22 26 mEq/L

16.9 mEq/L

O2 sat

95 100%

97.0%

Interpretation: Respiratory Acidosis

Time: 10:05 PM
REFERENCE RANGE

ACTUAL FINDING

pH

7.35 7.45

7.252

pCO2

35 45 mmHg

33.7 mmHg

pO2

80 100 mmHg

174.1 mmHg

HCO3

22 26 mEq/L

14.4 mEq/L

O2 sat

95 100%

99.2%

Interpretation: Metabolic Acidosis

February 15, 2015

Capillary Blood Glucose
Time
12:00 P.M.
6:00 P.M.

Reference Unit
70-180 mg/dL
70-180 mg/dL

Result Unit
79 mg/dL
89mg/dL

Interpretation
Normal
Normal

Reference Unit
136 145 mmol/L

Result Unit
149.2 mmol/L

3.50 5.10 mmol/L

2.83 mmol/L

Interpretation
Decreased amount of
Sodium indicate loss
of GI fluids (Brunner
& Suddarths, Vol 1,
10th ed., pp 262)
Decreased amount of
Potassium indicates
diarrhea, vomiting,
gastric suction
(Brunner &
Suddarths, Vol 1, 10th
ed., pp 262)

Blood Chemistry
Parameter
Sodium

Potassium

Hematology Test

Parameter

Reference Unit

Result Unit

WBC Count

5.00 10.00 x ^9/L

6.99

Neutrophils

0.550 0.650

0.842

Lymphocytes

0.250 0.350

0.056

Monocytes

0.020 0.060

0.102

Eosinophils

0.030 0.050

0.000

Basophils

0.000 0.010

0.000

RBC Count

4.50 5.50 x
10^12/L

5.16

Hemoglobin (Hgb)

120 140 g/L

151

0.370 0.470 L/L

0.462

80.0 100.0 fL

89.5

Hematocrit (Hct)

MCV

Interpretation
Protects and defends the
body against damage by
bacteria, viruses,
parasites, and tumor
cells (Marieb 7th ed., pp.
313)
Infection
(Kozier, Erb, Berman &
Snyder,Vol. 2 8th ed., pp
800)
Chronic bacterial
infection
(Kozier, Erb, Berman &
Snyder,Vol. 2 8th ed., pp
800)
Tuberculosis
(Kozier, Erb, Berman &
Snyder,Vol. 2 8th ed., pp
800)
Stress
(Kozier, Erb, Berman &
Snyder,Vol. 2 8th ed., pp
800)
Contains histamine, part
of hypersensitivity
(Brunner & Suddarths,
Vol 1, 10th ed., pp 869)
Involves in
transportation of
oxygen in blood to all
cells (Marieb 8th ed., pp.
330)
Lung problem
(nlm.nih.gov)
Viscosity of the
blood(Marieb 8th ed.,
pp. 330)
Average red blood cell
size. (nlm.nih.gov)

MCH

27.0 33.0 pg

29.3

MCHC

320 380 g/L

327

RDW-CV

11.0 16.0 %

15.3

RDW-SD

35.0 = 56.0 fL

50.4

160 380 x 10^9/L

84

MPV

6.5 12.0 fL

10.0

POW

9.0 17.0 fL

10.6

Platelet Count

Useful to diagnose type

of anemia (Hopkins, pp.
20)
To know average
weight of hemoglobin
that is present inside a
red blood cell.
(medicalhealthtests.com
)
Determined by taking
the standard deviation
of RDW-SD and the
mean corpuscular
volume (MCV) number.
(med-health.net)
Actual measure of the
red blood cell. It is
derived by finding the
width in fluid Liters at
the 20% height of the
distribution histogram.
(med-health.net)
Bleeding
( Kozier, Erb, Berman
& Snyder,Vol. 2 8th ed.,
pp 800)
Measures the
volume/amount of the
platelet. (webmd.com)
PDW measures the
range of platelet size in
a sample of blood.
(patient.co.uk)

Roentnogenographic Report
Chest #4
Date: February 15, 2015

Blunting of the left costophrenic sulcus, consider pleural reaction and/or minimal
effusion.
ET tube is seen tip of which 1.2 cm above the carina.

Note of chest leads, tubular drain and surgical staple wires in the visualized abdomen.

Time: 4:08 PM
REFERENCE RANGE

ACTUAL FINDING

pH

7.35 7.45

7.36

pCO2

35 45 mmHg

45.2 mmHg

pO2

80 100 mmHg

90.5 mmHg

HCO3

22 26 mEq/L

24.9 mEq/L

O2 sat

95 100%

97.2%

Interpretation: Partial Compensated

Time: 1:01 PM
REFERENCE RANGE

ACTUAL FINDING

pH

7.35 7.45

7.311

pCO2

35 45 mmHg

49.0 mmHg

pO2

80 100 mmHg

110.3 mmHg

HCO3

22 26 mEq/L

24.0 mEq/L

O2 sat

95 100%

97.7%

Interpretation: Respiratory Acidosis

Time: 9:58 AM
REFERENCE RANGE

ACTUAL FINDING

pH

7.35 7.45

7.301

pCO2

35 45 mmHg

51.6 mmHg

pO2

80 100 mmHg

94.8 mmHg

HCO3

22 26 mEq/L

24.7 mEq/L

O2 sat

95 100%

96.4%

Interpretation: Respiratory Acidosis

Time: 4:49AM
REFERENCE RANGE

ACTUAL FINDING

pH

7.35 7.45

7.272

pCO2

35 45 mmHg

43.8 mmHg

pO2

80 100 mmHg

122.7 mmHg

HCO3

22 26 mEq/L

19.6 mEq/L

O2 sat

95 100%

98.1%

Interpretation: Not compensated

Time: 12:51 PM
REFERENCE RANGE

ACTUAL FINDING

pH

7.35 7.45

7.191

pCO2

35 45 mmHg

43.7 mmHg

pO2

80 100 mmHg

117.0 mmHg

HCO3

22 26 mEq/L

16.1 mEq/L

O2 sat

95 100%

97.5%

Interpretation: Not compensated

February 16, 2015

Capillary Blood Glucose
Parameter
12:00 A.M.
6:00 A.M.
12:00 P.M.
6:00 P.M.

Reference Unit
70-180 mg/dL
70-180 mg/dL
70-180 mg/dL
70-180 mg/dL

Result Unit
95 mg/dL
91 mg/dL
97 mg/dL
91 mg/dL

Interpretation
Normal
Normal
Normal
Normal

Blood Chemistry
Parameter
Creatinine

Reference Unit
Female: 50.40 98.0
umol/L

Result Unit
59 mmol/L

Interpretation
This test indicates the
kidney function
(Hopkins,pp.22)

Reference Unit
Male: 63.60 110.50
umol/L
Female: 50.40 98.0
umol/L

Result Unit
50.7 mmol/L

Interpretation
This test indicates the
kidney function
(Hopkins,pp.22)

Reference Unit
3.50 5.10 mmol/L

Result Unit
4.0 mmol/L

Interpretation
Skeletal and smooth
muscle function,
regulating acid-base
balance, transmitting
nerve and other
electrical impulses
(Kozier, Erb, Berman
& Snyder,Vol. 2 8th
ed., pp 800)

Blood Chemistry
Parameter
Creatinine

Blood Chemistry
Parameter
Potassium

February 17, 2015

Capillary Blood Glucose
Parameter
Reference Unit
6:00 A.M.
70-180 mg/dL
1:00 P.M.
70-180 mg/dL
Roentgenographic Report

Result Unit
108 mg/dL
72 mg/dL

Interpretation
Normal
Normal

Chest #5

Shows progression of the right sides pneumonic process.

Progression of the left sided pleural effusion now seen bilaterally.
Drain tubes and staple wires are still seen.
ETT and monitor leads are no longer seen.
February 18, 2015

Blood Chemistry
Parameter
Creatinine

Total Protein

Reference Unit
Male: 63.60 110.50
umol/L
Female: 50.40 98.0
umol/L
64 83 g/L

Result Unit
50.7 mmol/L

51.0 g/L

Albumin

35 60 g/L

25.0 g/L

Globulin

29 33 g/L

26.0 g/L

Sodium

136 145 mmol/L

145.7 mmol/L

Potassium

3.50 5.10 mmol/L

3.52 mmol/L

Interpretation
This test indicates the
kidney function
(Hopkins,pp.22)
Hepatic resection
(nlm.nih.gov)
Low albumin
indicates low-protein
diet. (nlm.nih.gov)
Hepatic dysfunction
(nlm.nih.gov)
Decreased amount of
Sodium indicate loss
of GI fluids
(Brunner &
Suddarths, Vol 1, 10th
ed., pp 262)
Skeletal and smooth
muscle function,
regulating acid-base
balance, transmitting
nerve and other
electrical impulses
(Kozier, Erb, Berman
& Snyder,Vol. 2 8th
ed., pp 800)

Hematology Test
Parameter

Reference Unit

Result Unit

Interpretation

WBC Count

5.00 10.00 x ^9/L

12.53

Neutrophils

0.550 0.650

0.620

Lymphocytes

0.250 0.350

0.103

Monocytes

0.020 0.060

0.704

Eosinophils

0.030 0.050

0.001

Basophils

0.000 0.010

0.002

RBC Count

4.50 5.50 x
10^12/L

4.66

Hemoglobin (Hgb)

120 140 g/L

136

0.370 0.470 L/L

0.421

MCV

80.0 100.0 fL

90.3

MCH

27.0 33.0 pg

29.2

Hematocrit (Hct)

Autoimmune disease
(Kozier, Erb, Berman &
Snyder,Vol. 2 8th ed., pp
800)
Active phagocytosis
(Marieb 7th ed., pp. 313)
Autoimmune disease
(Kozier, Erb, Berman &
Snyder,Vol. 2 8th ed., pp
800)
Tuberculosis (Kozier,
Erb, Berman &
Snyder,Vol. 2 8th ed., pp
800)
Stress (Kozier, Erb,
Berman & Snyder,Vol.
2 8th ed., pp 800)
Contains histamine, part
of hypersensitivity
(Brunner & Suddarths,
Vol 1, 10th ed., pp 869)
Involves in
transportation of
oxygen and carbon
dioxide. Contains
histamine, part of
hypersensitivity
(Brunner & Suddarths,
Vol 1, 10th ed., pp 868)
Transport the bulk of
the oxygen that is
carried to blood
(Marieb 8th ed., pp. 330)
Viscosity of the
blood(Marieb 8th ed.,
pp. 330)
Average red blood cell
size. (nlm.nih.gov)
Useful to diagnose type
of anemia (Hopkins, pp.
20)

MCHC

320 380 g/L

323

RDW-CV

11.0 16.0 %

15.8

RDW-SD

35.0 = 56.0 fL

52.0

160 380 x 10^9/L

92

MPV

6.5 12.0 fL

10.8

POW

9.0 17.0 fL

12.5

Platelet Count

To know average
weight of hemoglobin
that is present inside a
red blood cell.
(medicalhealthtests.com
)
Determined by taking
the standard deviation
of RDW-SD and the
mean corpuscular
volume (MCV) number.
(med-health.net)
Actual measure of the
red blood cell. It is
derived by finding the
width in fluid Liters at
the 20% height of the
distribution histogram.
(med-health.net)
Infection, leeding
( Kozier, Erb, Berman
& Snyder,Vol. 2 8th ed.,
pp 800)
Measures the
volume/amount of the
platelet. (webmd.com)
PDW measures the
range of platelet size in
a sample of blood.
(patient.co.uk)

February 19, 2015

Blood Chemistty
Parameter
Potassium

Reference Unit
3.50 5.10 mmol/L

Result Unit
3.47 mmol/L

Interpretation
Decreased amount of
Potassium indicates
diarrhea, vomiting,
gastric suction
(Brunner &

Suddarths, Vol 1, 10th

ed., pp 262)
Hematology Test
Parameter

Reference Unit

Result Unit

WBC Count

5.00 10.00 x ^9/L

5.71

Neutrophils

0.550 0.650

0.693

Lymphocytes

0.250 0.350

0.172

Monocytes

0.020 0.060

0.126

Eosinophils

0.030 0.050

0.007

Basophils

0.000 0.010

0.002

RBC Count

4.50 5.50 x
10^12/L

4.81

Interpretation
Protects and defends the
body against damage by
bacteria, viruses,
parasites, and tumor
cells (Marieb 7th ed., pp.
313)
Infection
(Kozier, Erb, Berman &
Snyder,Vol. 2 8th ed., pp
800)
Autoimmune disease
(Kozier, Erb, Berman &
Snyder,Vol. 2 8th ed., pp
800)
Tuberculosis
(Kozier, Erb, Berman &
Snyder,Vol. 2 8th ed., pp
800)
Stress
(Kozier, Erb, Berman &
Snyder,Vol. 2 8th ed., pp
800)
Contains histamine, part
of hypersensitivity
(Brunner & Suddarths,
Vol 1, 10th ed., pp 869)
Involves in
transportation of
oxygen and carbon
dioxide. Contains
histamine, part of
hypersensitivity
(Brunner & Suddarths,
Vol 1, 10th ed., pp 868)

Hemoglobin (Hgb)

120 140 g/L

140

0.370 0.470 L/L

0.428

MCV

80.0 100.0 fL

89.0

MCH

27.0 33.0 pg

29.3

MCHC

320 380 g/L

329

RDW-CV

11.0 16.0 %

15.4

RDW-SD

35.0 = 56.0 fL

50.4

160 380 x 10^9/L

5.71

MPV

6.5 12.0 fL

0.693

POW

9.0 17.0 fL

0.172

Hematocrit (Hct)

Platelet Count

Transport the bulk of

the oxygen that is
carried to blood
(Marieb 8th ed., pp. 330)
Viscosity of the
blood(Marieb 8th ed.,
pp. 330)
Average red blood cell
size. (nlm.nih.gov)
Useful to diagnose type
of anemia (Hopkins, pp.
20)
To know average
weight of hemoglobin
that is present inside a
red blood cell.
(medicalhealthtests.com
)
Determined by taking
the standard deviation
of RDW-SD and the
mean corpuscular
volume (MCV) number.
(med-health.net)
Actual measure of the
red blood cell. It is
derived by finding the
width in fluid Liters at
the 20% height of the
distribution histogram.
(med-health.net)
Infection, bleeding
( Kozier, Erb, Berman
& Snyder,Vol. 2 8th ed.,
pp 800)
Measures the
volume/amount of the
platelet. (webmd.com)
PDW measures the
range of platelet size in
a sample of blood.

(patient.co.uk)

Roentgenographic Report
Chest #6

Shows minimal progression in the right sides pneumonia, however there is moderate
diminution of bilateral pleural effusion.
Heart is not enlarged.
Note of drain tube, staple wires and gauze markers.