indicators upon admission. Serum osmolality may be elevated during times of hyperglycemia, uremia, dehydration, hypernatremia, or poor secretion of Calculated antidiuretic Estimated 275-295 354 320 309 316 310 hormone. The Serum mosm/kg H H H H H Veteran presented to Osmolality the ER with uremia due to ESRD and hyperglycemia. The Veteran was also placed on diuretics in order to remove fluids. EGFR provides an estimate of the Estimated Normal Kidney filtration Glomerular 7 Function rate/clearance ability Filtration ESRD 9.6 22.2 18.6 22.1 Value is ~125 of the glomerulus Rate Dx mL/min/1.73m^2 within the kidney. It (EGFR) is a common value used to stage CKD. Lactic acid is frequently monitored in the critical care setting. This value helps determine the No No No extent of the tissues’ Lactic Acid 0.7-2.1 mmol/L New New 1.2 1.6 New ability to receive Value Value Value oxygen. If the body cannot receive adequate oxygen supply, glucose is metabolized anaerobically
indicators upon admission. Calculated Estimated Serum Osmolality 275-295 mosm/kg 354 H 320 H 309 H 316 H 310 H Serum osmolality may be elevated during times of hyperglycemia, uremia, dehydration, hypernatremia, or poor secretion of antidiuretic hormone. The Veteran presented to the ER with uremia due to ESRD and hyperglycemia. The Veteran was also placed on diuretics in order to remove fluids. Estimated Glomerular Filtration Rate (EGFR) Normal Kidney Function Value is ~125 mL/min/1.73m^2 7 ESRD Dx 9.6 22.2 18.6 22.1 EGFR provides an estimate of the filtration rate/clearance ability of the glomerulus within the kidney. It is a common value used to stage CKD. Lactic Acid 0.7-2.1 mmol/L No New Value No New Value 1.2 1.6 No New Value Lactic acid is frequently monitored in the critical care setting. This value helps determine the extent of the tissues’ ability to receive oxygen. If the body cannot receive adequate oxygen supply, glucose is metabolized anaerobically
allison_k_fassler_clinical_case_study.docx