OM

28/F
• Admitting Diagnosis:
– Diabetic Ketoacidosis
– DM Insulin-requiring

• Admitted 3/22/19
3/23
3/30
 CBG
3/23 8pm 231 3/26 4am 201
10pm 261 8am 270
12mn 274 12nn 197
2am 256 4pm 296
4am 329 8pm 329
6am 394 3/27 12mn 211
3/24 8am 285 6am 279
10am 218 8am 259
12nn 141 12nn 133
2pm 109 6pm 392
4pm 118 12mn 166
8pm 297 3/28 6am 96
3/25 12am 309 12nn 250
4am 328 6pm 121
8pm 336 6am 118
10pm 295 3/29 6pm 121
12nn 146 6am 91
2pm 198 3/30 6pm 63
4pm 165 6am 164
8pm 261
 ABG
3/23 3/23 3/23 3/24 3/24 3/25 3/26 3/27 3/27 3/30 3/30 3/30
12pm 6pm 9pm 5am 5pm 4pm 6am 6am 10am 11am 3pm 6pm

pH 6.94 6.94 7.00 6.96 7.30 7.41 7.41 7.45 7.43 7.44 7.36 7.18

pCO2 10 10 19.5 21.9 33.4 35.8 42. 4 46.0 46.8 34.0 37.8 45.9

pO2 161 126 246 380 187 140 129 99 125 34 50 58

HCO3 2.0 1.8 4.8 4.9 16.2 22.6 26.6 31.9 30.3 22.7 21.3 17.1

BE -28.3 -28.6 -24.8 -25.6 -9.2 -1.5 1.8 7.1 5.2 -1.0 -3.7 -10.4

SO2 98 96 100 100 100 99 99 98 99 68 84 83

Urine Ketone
3/24 Large 80mg/dl
3/25 Large 80mg/dl
 CBC
3/26 3/27 3/29 3/30 3/30
Hemoglobin 122 123 111 112 105
Hematocrit 0.33 0.35 0.31 0.31 0.29
WBC count 10.60 11.29 9.54 12.20 2.87
Neutrophils 0.80 0.80 0.83 0.92 0.79
Lymphocytes 0.13 0.14 0.11 0.06 0.17
Platelets 56 65 163 193 185
 Urinalysis 3/28
Physical Examination
Color: Yellow
Sl. turbid
7.5
1.010
Chemical Examination
Sugar 4 (+)
Albumin 1 (+)
Microscopic Examination
Pus cells 1-3
RBC 15-20
Epithelial cells Rare
Bacteria Few

Fecalysis 3/28
Color Brown
Consistency Soft
Result No intestinal parasites seen
 3/23 3/24 3/24 3/24 3/25 3/26 3/26 3/27 3/28 3/29 3/30
K 3.89 3.01 2.54 2.01 2.67 3.34 4.37 3.42 3.75 2.68 (3.31)
3.73
Na 133.8 141.1 141.7 140.3 147.2 144.4 150 140.6 133.7
iCa 1.22 1.14 1.16 1.05
Cl 106.6 109.3
Crea 89.3 73.7 82.3
Mg 0.93 0.92 0.75 (0.93)
0.72
BUN 4.76 4.64 3.74
Albu 37.25
min
 Procalcitonin
3/29 More than 19.59
3/30 More than 30

AFB No AFB seen

Urine GS No microorganisms seen
Urine CS No growth after 48 hours
ETA GS Pus cells: More than 25/lpf
EC: 2-5/lpf
No microorganisms seen
ETA CS No growth after 72 hours
Blood CS No growth after 5 days of
incubation (left arm and
right arm)
 CHEST AP

3/23 3/30
 OM
28/F
• Admitting Diagnosis:
– Diabetic Ketoacidosis
– DM Insulin-requiring
• Final diagnosis:
– Septic shock secondary to Healthcare-associated
pneumonia probably secondary to MRSA infection
– Acute respiratory failure I secondary to pneumonia
– DM-IR
• Admitted: 3/22/19
• Expired: 3/31/19