LABORATORY TEST RESULTS:

HEMATOLOGY
Sept. 16, 2010
Value Normal Value Interpretation
Hemoglobin 8.8 14-18 g/ L ↓ related to kidney failure,
Hematocrit 0.27 0.40-0.54 ↓ related to anemia
WBC 8.5 4-11 x 10 (9)/L Normal
RBC 3.0 5.0-6.4 ↓related to anemia
DIFFERENTIAL COUNT
Basophil 0.00
Eosinophil 0.03 0.02-0.04 Normal
Neutrophil
 Segmenters 0.76 0.50-0.70 ↑ maybe related to bone
marrow disorder
Lymphocytes 0.12 0.20-0.40 ↓ related to leukocyte
infiltration of kidneys
Monocytes 0.09 0.02-0.05 Normal
Platelet 262 150-450 x 10 (9)/L Normal
*GENERAL INTERPRETATION Hemoglobin count is low related to kidney failure, the kidneys’ function to
produce hormones, erythropoietin, that controls red blood cell production is
altered, hence, low hemoglobin and hematocrit counts are the results. An
increase and decrease in WBC Differential Count can indicate the inability of bone
marrow to produce inadequate RBCs for the body.

September 13, 2010

Hemoglobin 8.0 14-18 g/ L ↓ related to obstructive

pulmonary disease
Hematocrit 0.25 0.40-0.54 ↓ related to anemia
WBC 8.9 4-11 x 10 (9)/L Normal
RBC 2.8 5.0-6.4 ↓related to anemia
DIFFERENTIAL COUNT
Basophil 0.00
Eosinophil 0.01 0.01-0.04 Normal
Neutrophil
 Segmenters 0.81 0.50-0.70 ↑ related to acute
infection
Lymphocytes 0.13 0.20-0.40 ↓ related to leukocyte
infiltration of kidneys
Monocytes 0.05 0.02-0.05 Normal
Platelet 289 150-450 x 10 (9)/L Normal
PTT 19.1 secs 10.4-14.0 secs. ↑ related to vitamin
deficiency
% activity 38.7 3-12%
INR 1.62 0.88-1.21 Prolonged related to
anemia
APTT 103.4 secs. 30.4-41.2 secs. Prolonged related to
anemia
*GENERAL INTERPRETATION Hemoglobin count is low related to kidney failure, the kidneys’ function to
 produce hormones, erythropoietin, that controls red blood cell production is
altered, hence, low hemoglobin and hematocrit counts are the results. An increase
and decrease in WBC Differential Count can indicate the inability of bone marrow to
produce adequate RBCs for the body.

September 15, 2010

Hemoglobin 7.9 14-18 g/ L ↓ related to obstructive

pulmonary disease
Hematocrit 0.25 0.40-0.54 ↓ related to anemia
WBC 7.8 4-11 x 10 (9)/L Normal
RBC 2.8 5.0-6.4 ↓related to anemia
DIFFERENTIAL COUNT
Basophil 0.00
Eosinophil 0.05 0.01-0.04 ↑ related to infection
Neutrophil
 Segmenters 0.71 0.50-0.70 ↑ related to acute
infection
Lymphocytes 0.16 0.20-0.04 ↓ related to leukocyte
infiltration of kidneys
Monocytes 0.08 0.02-0.05 Normal
Platelet 288 150-450 x 10 (9)/L Normal
PTT 15.1 secs. 17.1 secs. ↑ related to vitamin
deficiency
% activity 53.7% 52.6%
INR 1.27 1.50 prolonged related to
anemia
APTT 63 secs. 58.8 secs. prolonged related to
anemia
*GENERAL INTERPRETATION Hemoglobin count is low related to kidney failure, the kidneys’ function to
produce hormones, erythropoietin, that controls red blood cell production is
altered, hence, low hemoglobin and hematocrit counts are the results. An increase
and decrease in WBC Differential Count can indicate the inability of bone marrow to
produce adequate RBCs for the body.

September 10, 2010

Hemoglobin 7.5 14-18 g/ L ↓ related to obstructive

pulmonary disease
Hematocrit 0.23 0.40-0.54 ↓ related to anemia
WBC 7.5 4-11 x 10 (9)/L Normal
RBC 2.6 5.0-6.4 ↓related to anemia
DIFFERENTIAL COUNT
Eosinophil 0.03 0.02-0.04 Normal
Neutrophil
 Segmenters 0.74 0.50-0.70 ↑ related to infection
Lymphocytes 0.16 0.20-0.40 ↓ related to leukocyte
infiltration by kidneys
Monocytes 0.07 0.02-0.05 ↑ related to infection
Platelet 280 150-450 x 10 (9)/L Normal
September 02, 2010

Hemoglobin 8.8 14-18 g/ L ↓ related to obstructive

pulmonary disease
Hematocrit 0.26 0.40-0.54 ↓ related to anemia
WBC 10.8 4-11 x 10 (9)/L Slightly increased
related to acute
infection
RBC 3.0 5.0-6.4 ↓related to anemia
DIFFERENTIAL COUNT
Eosinophil 0.01 0.01-0.04 Normal
Neutrophil
 Segmenters 0.81 0.50-0.70 ↑ related to infection
Lymphocytes 0.10 0.20-0.40 ↓ related to leukocyte
infiltration by kidneys
Monocytes 0.08 0.02-0.05 ↑ related to infection
Platelet 439 150-450 x 10 (9)/L Normal
*GENERAL INTERPRETATION Hemoglobin count is low related to kidney failure, the kidneys’ function to
produce hormones, erythropoietin, that controls red blood cell production is
altered, hence, low hemoglobin and hematocrit counts are the results. An increase
and decrease in WBC Differential Count can indicate the inability of bone marrow to
produce adequate RBCs for the body.

August 31, 2010

Hemoglobin 9.5 14-18 g/ L ↓ related to obstructive

pulmonary disease
Hematocrit 0.28 0.40-0.54 ↓ related to anemia
WBC 17.7 4-11 x 10 (9)/L Normal
RBC 3.2 5.0-6.4 ↓related to anemia
DIFFERENTIAL COUNT
Neutrophil
 Segmenters 0.88 0.50-0.70 ↑ related to infection
Lymphocytes 0.07 0.20-0.40 ↑ related to infection
Monocytes 0.05 0.02-0.05 Normal
Platelet 514 150-450 x 10 (9)/L ↑ma be related to
trauma
*GENERAL INTERPRETATION Hemoglobin count is low related to kidney failure, the kidneys’ function to
produce hormones, erythropoietin, that controls red blood cell production is
altered, hence, low hemoglobin and hematocrit counts are the results. An increase
and decrease in WBC Differential Count can indicate the inability of bone marrow to
produce adequate RBCs for the body.

August 29, 2010

Value Normal Value Interpretation
Hemoglobin 7.4 14-18 g/ L ↓ related to obstructive
pulmonary disease
Hematocrit 0.23 0.40-0.54 ↓ related to anemia
WBC 10.9 4-11 x 10 (9)/L Normal
RBC 2.5 5.0-6.4 ↓related to anemia
DIFFERENTIAL COUNT
Eosinophil 0.01 0.01-0.04 Normal
 Neutrophil
 Segmenters 0.78 0.50-0.70 ↑ related to infection
Lymphocytes 0.16 0.20-0.04 ↑ related to infection
Monocytes 0.05 0.02-0.05 Normal
Platelet 550 150-450 x 10 (9)/L ↑ related to trauma
PT 14 10-14 secs Normal
% activity 55.2% 52.6%
INR 1.25 1.50 prolonged related to
anemia
APTT 58.5 21-35 secs. prolonged related to
anemia
*GENERAL INTERPRETATION Hemoglobin count is low related to kidney failure, the kidneys’ function to
produce hormones, erythropoietin, that controls red blood cell production is
altered, hence, low hemoglobin and hematocrit counts are the results. An increase
and decrease in WBC Differential Count can indicate the inability of bone marrow to
produce inadequate RBCs for the body.

August 29, 2010

Reticulocytes count 2.4 0.5-1.5% ↑ related to anemia
*GENERAL INTERPRETATION Related to the impaired production of erythropoietin of the kidneys to produce RBCs,
the bone marrow is not able to produce new RBCs quickly enough to replace those
that have been destroyed, leading to a decreased number of RBCs in the blood.

September 20, 2010

Potassium 4.8 3.5-5.1 mmol/L Normal
*GENERAL INTERPRETATION Potassium is necessary for maintaining fluid and electrolyte balance and pH level. The
kidneys help in maintaining this electrolyte. This table shows normal potassium level of
the patient.

September 19, 2010

Potassium 5.0 3.5-5.1 mmol/L Normal
*GENERAL INTERPRETATION Potassium is necessary for maintaining fluid and electrolyte balance and pH level. The
kidneys help in maintaining this electrolyte. This table shows normal potassium level of
the patient.

September 18, 2010

Potassium 5.6 3.5-5.1 mmol/L Hyperkalemia related to
renal failure
*GENERAL INTERPRETATION When kidneys fail they can no longer remove excess potassium, so the level builds up in
the body. 

September 15, 2010

BUN 53.6 2.5-6.4 mmol/L ↑ related to kidney
disease
Creatinine 2067 53-115 Umol/L ↑ related to anemia and
kidney disease
Alkaline Phosphate 124 50-165U/L Normal
Total Calcium 1.78 2.12-2.52 mmol/L ↓ related to renal failure
Sodium 132 136-145 mmol/L Hyponatremia related to
renal failure
Potassium 6.3 3.5-5.1 mmol/L Hyperkalemia, related to
renal failure
 Phosphate 3.14 0.81-1.58 mmol/L ↑ related to kidney
failure
Magnesium 0.96 0.74- 0.99 mmol/L Normal
*GENERAL INTERPRETATION These tests are used to evaluate kidney function or monitor the effectiveness
of dialysis and other treatments related to kidney disease or damage. The patient has
altered electrolytes, BUN and Creatinine which means that kidney function is present
and probably gets worse.

September 10, 2010

BUN 46.9 2.5-6.4 mmol/L ↑ related to kidney
disease
Creatinine 1802 53-115 Umol/L ↑ related to anemia and
kidney disease
Total Calcium 1.80 2.12-2.52 mmol/L ↓ related to renal failure
Sodium 127 136-145 mmol/L Hyponatremia related to
renal failure
Potassium 4.8 3.5-5.1 mmol/L Hyperkalemia, related to
renal failure
Phosphate 2.55 0.81-1.58 mmol/L ↑ related to renal disease
Magnesium 0.88 0.74- 0.99 mmol/L ↑ related to kidney
failure
Chloride 100 110-250 mEq/24hrs ↓ related to kidney
disease
*GENERAL INTERPRETATION These tests are used to evaluate kidney function or monitor the effectiveness
of dialysis and other treatments related to kidney disease or damage. The patient has
altered electrolytes, BUN and Creatinine which means that kidney function is present
and probably gets worse.
BUN 43.5 2.5-6.4 mmol/L ↑ related to kidney
disease
Creatinine 1787 53-115 Umol/L ↑ related to anemia and
kidney disease
Total Calcium 1.85 2.12-2.52 mmol/L ↓ related to renal failure
Sodium 129 136-145 mmol/L Hyponatremia related to
renal failure
Potassium 5.1 3.5-5.1 mmol/L Normal
Phosphate 2.54 0.81-1.58 mmol/L ↑ related to renal
disease
Magnesium 0.90 0.74- 0.99 mmol/L Normal
Chloride 95 110-250 mEq/24hrs ↓ related to kidney
disease
*GENERAL INTERPRETATION These tests are used to evaluate kidney function or monitor the effectiveness
of dialysis and other treatments related to kidney disease or damage. The patient has
altered electrolytes, BUN and Creatinine which means that kidney function is present
and probably gets worse

September 06, 2010

BUN 37.6 2.5-6.4 mmol/L ↑ related to kidney

disease
Creatinine 1684 53-115 Umol/L ↑ related to kidney
disease
*GENERAL INTERPRETATION These tests are used to evaluate kidney function or monitor the effectiveness
 of dialysis and other treatments related to kidney disease or damage. The patient has
altered electrolytes, BUN and Creatinine which means that kidney function is present
and probably gets worse

September 07, 2010

BUN 39.2 2.5-6.4 mmol/L ↑ related to kidney

disease
Creatinine 1695 53-115 Umol/L ↑ related to kidney
disease
Sodium 129 136-145 mmol/L Hyponatremia related to
renal failure
Potassium 4.8 3.5-5.1 mmol/L Normal
*GENERAL INTERPRETATION These tests are used to evaluate kidney function or monitor the effectiveness
of dialysis and other treatments related to kidney disease or damage. The patient has
altered electrolytes, BUN and Creatinine which means that kidney function is present
and probably gets worse

September 06, 2010

Potassium 3.3 3.5-5.1 mmol/L Hypokalemia may be
related to peritoneal
dialysis procedure
*GENERAL INTERPRETATION

September 02, 2010

BUN 33.1 2.5-6.4 mmol/L ↑ related to kidney
disease
Creatinine 1531 53-115 Umol/L ↑ related to kidney
disease
Sodium 129 136-145 mmol/L Hyponatremia related to
renal failure
Potassium 4.4 3.5-5.1 mmol/L Normal
*GENERAL INTERPRETATION These tests are used to evaluate kidney function or monitor the effectiveness
of dialysis and other treatments related to kidney disease or damage. The patient has
altered electrolytes, BUN and Creatinine which means that kidney function is present
and probably gets worse.

September 01, 2010

BUN 31.0 2.5-6.4 mmol/L ↑ related to kidney
disease
Creatinine 1584 53-115 Umol/L ↑ related to kidney
disease
*GENERAL INTERPRETATION These tests are used to evaluate kidney function or monitor the effectiveness
of dialysis and other treatments related to kidney disease or damage. The patient has
altered BUN and Creatinine which means that kidney function is present and probably
gets worse.

August 29, 2010

BUN 27.2 2.5-6.4 mmol/L ↑ related to kidney
disease
Creatinine 1427 53-115 Umol/L ↑ related to kidney
disease
 Sodium 133 136-145 mmol/L Hyponatremia related to
renal failure
Potassium 4.6 3.5-5.1 mmol/L Normal
*GENERAL INTERPRETATION These tests are used to evaluate kidney function or monitor the effectiveness
of dialysis and other treatments related to kidney disease or damage. The patient has
altered BUN and Creatinine which means that kidney function is present and probably
gets worse.

September 06, 2010

Total Protein 65 64-82 g/L Normal
Albumin 21 34-50 g/L ↓ related to kidney
disease (the kidneys
cannot prevent albumin
from leaking from the
blood into the urine and
being lost)
Globulin 44.0 30-32 g/L ↑ related to kidney
disease
A/G Ratio 0.5 1.1-1.6 ↓ related to a low
albumin count and an
overproduction of globulin
caused by kidney disease
AST 43 15-37 ↑ related to anemia
which causes decreased
blood flow to the liver
(ischemia)
*GENERAL INTERPRETATION Altered albumin levels can reflect diseases in which the kidneys cannot prevent albumin
from leaking from the blood into the urine and being lost. In this case, the amount of
albumin or protein in the urine are also measured. AST is also tested to determine the
effect of low RBC in the liver.

August 29, 2010

Total Protein 66 64-82 g/L Normal
Albumin 14 34-50 g/L ↓ related to kidney
disease
Globulin 52.0 30-32 g/L ↓ related to kidney
disease (the kidneys
cannot prevent albumin
from leaking from the
blood into the urine and
being lost)
A/G Ratio 0.3 1.1-1.6 ↓ related to a low
albumin count and an
overproduction of globulin
caused by kidney disease
Total Calcium 1.70 8-11 mg/dL ↓ related to kidney
disease
Phosphorus 2.23 2.2 – 4.8 mg/dL Normal
Magnesium 0.83 1.5-2.5 mg/dL ↓ maybe related to lack
of nutrition
*GENERAL INTERPRETATION Altered albumin levels can reflect diseases in which the kidneys cannot prevent
albumin from leaking from the blood into the urine and being lost. In this case, the
 amount of albumin or protein in the urine are also measured. AST is also tested to
determine the effect of low RBC in the liver.

Diet: Blenderized Feeding q4 in 6 equal feeding with minimal flushing

TkCal 2000
CHON 40 grams
CHO 310 grams
Fats 80 grams

NVS Q1
INO Q shift
02 Spot check q shift

A/C mode: TV - 440

PF - 40
BUR – 16
FiO2 – 40%

Tenchkhott catheter

ABG
September 17, 2010
pH 7.305 7.35-7.45 ↓ related to kidney
disease
PCO2 24.4 35-43 mmHg With the ↓ pH indicates
Metabolic Acidosis caused
by kidney failure
PO2 265.4 75-100 mmHg ↑
HCO3 15.0 18-23 mEq/L ↓ related to metabolic
acidosis
BE -12.4 -3 or +3 mmol/L Metabolic Acidosis
O2 Saturation 99.6 95-100 Normal
Total CO2 12.6 2-30 mmol/L Normal
*GENERAL INTERPRETATION The production of normal amounts of acid may lead to acidosis when the kidneys are
not functioning normally and are therefore not able to excrete sufficient amounts of
acid in the urine. The patient showed metabolic acidosis with the related results.

September 15, 2010

pH 7.295 7.35-7.45 ↓ related to kidney
disease
PCO2 24.4 35-43 mmHg With the ↓ pH indicates
Metabolic Acidosis caused
by kidney failure
PO2 103.4 75-100 mmHg ↑
HCO3 14.7 18-23 mEq/L ↓ related to metabolic
acidosis
BE -12.7 -3 or +3 mmol/L Metabolic Acidosis
 O2 Saturation 97.3 95-100 Normal
Total CO2 12.3 2-30 mmol/L Normal
*GENERAL INTERPRETATION The production of normal amounts of acid may lead to acidosis when the kidneys are
not functioning normally and are therefore not able to excrete sufficient amounts of
acid in the urine. The patient showed metabolic acidosis with the related results.

September 14, 2010

pH 7.298 7.35-7.45 ↓ related to kidney
disease
PCO2 35.9 35-43 mmHg ↓ related to kidney
disease
PO2 89.2 75-100 mmHg Normal
HCO3 17.8 18-23 mEq/L ↓ related to metabolic
acidosis
BE -8.4 -3 or +3 mmol/L Metabolic Acidosis
O2 Saturation 96.0 95-100 Normal
Total CO2 18.3 2-30 mmol/L Normal
*GENERAL INTERPRETATION The production of normal amounts of acid may lead to acidosis when the kidneys are
not functioning normally and are therefore not able to excrete sufficient amounts of
acid in the urine. The patient showed metabolic acidosis with the related results.

August 29, 2010

pH 7.399 7.35-7.45 Normal
PCO2 37.3 35-43 mmHg Normal
PO2 193.6 75-100 mmHg ↑
HCO3 23.0 18-23 mEq/L Normal
BE -1.8 -3 or +3 mmol/L Metabolic Acidosis
O2 Saturation 99.3 95-100 Normal
Total CO2 23.7 2-30 mmol/L Normal
*GENERAL INTERPRETATION The production of normal amounts of acid may lead to acidosis when the kidneys are
not functioning normally and are therefore not able to excrete sufficient amounts of
acid in the urine. The patient showed metabolic acidosis with the related results.

Peripheral Blood Smear

RBC: moderate normocytic

normochromic anemia
WBC: no immature lymphocyte
Platelet: slightly increased

Hepa

Anti-HBC IgG 2.700 (0.150-CO) Non reactive

Hepa Profile

EO?? PV
HbSAg 1.0 0.29 Non reactive
 Anti HBS 10.00 0.00 Non reactive
Anti HCV 1.00 0.31 Non reactive

Clinical Microscopy

September 02, 2010

Color Yellow
Transparency Clear
Sugar +1
Protein +3
pH 0.0
WBC 2.5/ HPF
RBC 1-2/HPF
Epithelial Few
Amorphous Urate/ Occasional
Phosphate

Blood Transfusion

Amount
Date Temperature PR RR BP
Infused (mL)
1 “u” PRBC
8/30 1 300 36.2 74 21 160/110
O+
1 “u” PRBC
9/16 2 280 36.4 78 24 130/80
O+
9/16 3 1 “u” FFP 0+ 158 36.7 72 26 140/90
1 “u” PRBC On bag
9/16 4 260 36.5 92 130/60
O+ valve mask

IVF

9/20 D5W 100 x 24° Left hand 33cc/shift 4cc/hour

9/20 #29 PNSS 90 mL + 10 Left hand 45 Ugtts/min
mg Nicardipine
#30 PNSS 90 mL + On titration
10mg Nicardipine