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CV Index
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Values
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Over the next few hours, she remained hemodynamically unstable. She
had a borderline cardiac index and blood pressure despite high dose
inotropic
and pressor support. She developed florid pulmonary edema and severe
hypoxemia which could not be reversed despite maximal ventilatory support.
Minimizing
the right ventricular flow rate in an attempt to decrease pulmonary edema
was unsuccessful as well.
CBC |
Result/Unit |
|
Ref Interval |
WHITE BLOOD CELL COUNT |
17.79 K/uL |
H |
3.20-10.60 |
RED BLOOD CELL COUNT |
3.88 M/uL |
|
3.88-5.46 |
HEMOGLOBIN |
11.6 g/dL |
L |
12.1-15.9 |
HEMATOCRIT |
34.6 % |
|
34.3-46.6 |
MEAN CORPUSCULAR VOLUME |
89.2 fL |
|
77.8-94.0 |
MEAN CORPUSCULAR HEMOGLOBIN |
29.9 pg |
|
26.5-32.6 |
MEAN CORPUSCULAR HGB CONC |
33.6 g/dL |
|
32.7-36.9 |
RED CELL DISTRIBUTION WIDTH |
14.5 % |
H |
10.8-14.1 |
PLATELETS |
169 K/uL |
L |
177-406 |
MEAN PLATELET VOLUME |
8.7 fL |
|
5.9-9.8 |
BMP |
Result/Unit |
|
Ref Interval |
SODIUM |
152 mmol/L |
H |
136-144 |
POTASSIUM |
3.7 mmol/L |
|
3.3-5.0 |
CHLORIDE |
116 mmol/L |
H |
98-107 |
CARBON DIOXIDE |
15 mmol/L |
L |
22-29 |
UREA NITROGEN |
9 mg/dL |
|
6-22 |
CREATININE, SERUM - mg/dL |
1.8 mg/dL |
H |
0.7-1.2 |
GLUCOSE |
109 mg/dL |
|
64-128 |
ANION GAP |
21 mmol/L |
H |
8-14 |
CALCIUM, SERUM OR PLASMA |
8.9 mg/dL |
|
8.4-10.2 |
ABG |
Result/Unit |
|
Ref Interval |
FiO2 |
100 % |
|
|
pH |
6.941 |
LL |
7.35-7.45 |
PaCO2 |
67.9 mmHg |
HH |
35-39 |
PaO2 |
27.7 mmHg |
LL |
61-82 |
COHb |
0.4 % |
|
0.1-2 |
MethHb |
0.7 % |
|
0.1-2 |
tHb |
11.7 gm% |
L |
13-19 |
O2 Content |
7.2 vol% |
L |
17-24 |
Pb |
637 mmHg |
|
|
A-aO2 |
500 mmHg |
|
|
Na+ |
152 mmol/L |
H |
136-144 |
K+ |
3.7 mmol/L |
|
3.3-5 |
Ca++ |
1.24 mmol/L |
|
1.11-1.3 |
HCO3 |
13.9 mEq/L |
L |
19-25 |
BE |
-19.1 mEq/L |
L |
-2.5-2.5 |
O2Hb |
43.7 % |
L |
92-99 |
Hct |
36 g/dL |
|
|
Glucose |
120 mg/dL |
H |
65-110 |
Lactate |
17 mmol/L |
H |
0.7-2.1 |
Temp |
34.7 C |
|
|
Allen`s Test |
N |
|
|
PaO2* |
23.4 mmHg |
LL |
61-82 |
1. What does the
post operative blood gas tell you about her heart function?
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