The patient’s laboratory values during her hospital course
| Test | Result | Reference range | |||
|---|---|---|---|---|---|
| Admission | Day 2 12 pm | Day 2 8 pm | Day 3 12 pm | ||
| Complete blood count | |||||
| White blood cell count (× 109/L) | 11.2 | 12.8 | 17.2 | 19.1 | 3.5–12.5 |
| Hemoglobin (g/dL) | 12.9 | 12.6 | 11.5 | 8.2 | 11.5–15.0 |
| Hematocrit (%) | 38.2 | 40.3 | 37.2 | 26.1 | 34.0–46.0 |
| Platelet count (× 109/L) | 277 | 12 | 107 | 21 | 140–400 |
| Basic metabolic panel | |||||
| Sodium (mmol/L) | 135 | 142 | 140 | 138 | 137–145 |
| Potassium (mmol/L) | 3.5 | 3.2 | 4.8 | 6.0 | 3.5–5.3 |
| Chloride (mmol/L) | 102 | 117 | 115 | 104 | 98–107 |
| Carbon dioxide (mmol/L) | 25 | 11 | 38 | 8 | 22–30 |
| Blood urea nitrogen (mg/dL) | 16 | 19 | 23 | 23 | 9.0–20.0 |
| Creatinine (mg/dL) | 0.83 | 1.91 | 2.65 | 3.86 | ≤ 1.11 |
| Lactate (mmol/L) | 1.9 | 4.9 | 9.1 | 22 | 0.5–1.9 |
| Liver function tests | |||||
| Aspartate aminotransferase (U/L) | 716 | 6,633 | 14–36 | ||
| Alanine aminotransferase (U/L) | 3,514 | 11–66 | |||
| Alkaline phosphatase (U/L) | 81 | 95 | 38–126 | ||
| Total bilirubin (Mg/dL) | 3.2 | 3.3 | 0.2–1.3 | ||
| International normalized ratio | 3.8 | > 9 | |||
| Arterial blood gases | Day 2 7 am | Day 2 12 pm | Day 2 9 pm | Reference range | |
| pH | 7.17 | 7.02 | 6.92 | 7.35–7.45 | |
| PCO2 (mm Hg) | 25 | 28 | 23 | 34–46 | |
| PO2 (mm Hg) | 89 | 283 | 81 | 85–95 | |
| Bicarbonate (mmol/L) | 8.9 | 6.7 | 4.4 | 22–26 | |