NGN: Endocrine EAQ Case Study with Complete Solutions
Endocrine - Patient 1 280-300 mOsm/kg
290 mOsm/kg
H&P 322 mOsm/kg
1400 (admission): Red blood cell (RBC) count
21-year-old client; driver in motor vehicle Male: 4.6-6.0 x106/µL
accident. No known allergies. No medical history. Female: 4.0-5.0 x106/µL
Loss of consciousness for 5 minutes at scene 5.0 x106/µL
with amnesia. Ecchymosis to chest wall and 7.0 x106/µL
lower abdomen secondary to seat belt. White blood cell (WBC) count
Neurologic assessment and abdominal 4500-10,000/µL
assessments are negative. No lacerations. 5000/µL
Abrasion to left and center forehead. 9000/µL
Medications: Oral contraceptives Platelet count
150,000-400,000/ µL
NURSES' NOTES 200,000/µL
1400 (admission):
Received 21-year-old driver involved in motor Partial thromboplastin time (PTT)
vehicle accident via ambulance to emergency 60-70 seconds
department (ED). Client lost control of vehicle 60 seconds
due to wet road conditions. Vehicle rolled two
times down steep embankment prior to landing Prothrombin time (PT)
upside down; emergency medical service (EMS) 11-15 seconds
extracted client from vehicle. Ecchymosis to 12 seconds
chest wall secondary to seatbelt. Loss of
consciousness for approximately 5 minutes with Sodium (Na+)
residual amnesia. Does not remember the 135-145 mEq/L
accident. Denies headache; asking - - 140 mEq/L
LABORATORY RESULTS 152 mEq/L
Laboratory Test Potassium
Reference Range 3.5-5.0 mEq/L
Day 1 4.0 mEq/L
Admission 5.5 mEq/L
Day 2 Chloride (Cl-)
0800 97-107 mEq/L
Hematocrit 99 mEq/L
Male: 40%-54% 107 mEq/L
Female: 36%-46% Carbon dioxide
43% 22-30 mEq/L
52% 24 mEq/L
Hemoglobin 28 mEq/L
Male: 13.5-17 g/dL Glucose
Female: 12-15 g/dL 65-100 mg/dL
14 g/dL 126 nonfasting
19 g/dL 142 mg/dL
Serum osmolality Blood urea nitrogen (BUN)
5-25 mg/dL
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, NGN: Endocrine EAQ Case Study with Complete Solutions
10 mg/dL 520 mL
30 mg/dL 150 mL
Creatinine 1600-2000
0.5-1.5 mg/dL 275 mL
0.8 mg/dL 400 mL
1.0 mg/dL 675 mL
Amylase 0 mL
30-170 U/L 250 mL
50 U/L 250 mL
1195 mL
Alanine aminotransferase (ALT) 400 mL
Male: 4-35 U/L 2000-2400
Female: 4-35 U/L 425 mL
Elderly: slightly higher 400 mL
25 U/L 825 mL
0 mL
Alkaline phosphatase (ALP) 600 mL
Adult 20-60 years: 44-147 U/L 600 mL
>60: slightly higher 2020 mL
46 U/L 1000 mL
Day 2
Lactate (LD/LDH) 2400-0400
100 to 250 U/L >60 years: 55-102 U/L 0 mL
128 U/L 400 mL
400 mL
Blood type (ABO compatibility) 0 mL
Type: AB+ 600 mL
Cross match pending 600 mL
O+ 400 mL
600 mL
FLOW SHEET 0400-0800
Admission 400 mL
Day 1 400 mL
Oral (PO) Intake 800 mL
Intravenous (IV) Fluids 0 mL
Total Intake 2450 mL
Emesis 2450 mL
Urinary Output 1200 mL
Total Output 3050 mL
1400-1600
120 mL Test
400 mL Reference Range
520 mL Admission Day 1
0 mL Day 2
150 mL Electrocardiogram (ECG) tracing
150 mL SR 60-100 bpm
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Endocrine - Patient 1 280-300 mOsm/kg
290 mOsm/kg
H&P 322 mOsm/kg
1400 (admission): Red blood cell (RBC) count
21-year-old client; driver in motor vehicle Male: 4.6-6.0 x106/µL
accident. No known allergies. No medical history. Female: 4.0-5.0 x106/µL
Loss of consciousness for 5 minutes at scene 5.0 x106/µL
with amnesia. Ecchymosis to chest wall and 7.0 x106/µL
lower abdomen secondary to seat belt. White blood cell (WBC) count
Neurologic assessment and abdominal 4500-10,000/µL
assessments are negative. No lacerations. 5000/µL
Abrasion to left and center forehead. 9000/µL
Medications: Oral contraceptives Platelet count
150,000-400,000/ µL
NURSES' NOTES 200,000/µL
1400 (admission):
Received 21-year-old driver involved in motor Partial thromboplastin time (PTT)
vehicle accident via ambulance to emergency 60-70 seconds
department (ED). Client lost control of vehicle 60 seconds
due to wet road conditions. Vehicle rolled two
times down steep embankment prior to landing Prothrombin time (PT)
upside down; emergency medical service (EMS) 11-15 seconds
extracted client from vehicle. Ecchymosis to 12 seconds
chest wall secondary to seatbelt. Loss of
consciousness for approximately 5 minutes with Sodium (Na+)
residual amnesia. Does not remember the 135-145 mEq/L
accident. Denies headache; asking - - 140 mEq/L
LABORATORY RESULTS 152 mEq/L
Laboratory Test Potassium
Reference Range 3.5-5.0 mEq/L
Day 1 4.0 mEq/L
Admission 5.5 mEq/L
Day 2 Chloride (Cl-)
0800 97-107 mEq/L
Hematocrit 99 mEq/L
Male: 40%-54% 107 mEq/L
Female: 36%-46% Carbon dioxide
43% 22-30 mEq/L
52% 24 mEq/L
Hemoglobin 28 mEq/L
Male: 13.5-17 g/dL Glucose
Female: 12-15 g/dL 65-100 mg/dL
14 g/dL 126 nonfasting
19 g/dL 142 mg/dL
Serum osmolality Blood urea nitrogen (BUN)
5-25 mg/dL
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, NGN: Endocrine EAQ Case Study with Complete Solutions
10 mg/dL 520 mL
30 mg/dL 150 mL
Creatinine 1600-2000
0.5-1.5 mg/dL 275 mL
0.8 mg/dL 400 mL
1.0 mg/dL 675 mL
Amylase 0 mL
30-170 U/L 250 mL
50 U/L 250 mL
1195 mL
Alanine aminotransferase (ALT) 400 mL
Male: 4-35 U/L 2000-2400
Female: 4-35 U/L 425 mL
Elderly: slightly higher 400 mL
25 U/L 825 mL
0 mL
Alkaline phosphatase (ALP) 600 mL
Adult 20-60 years: 44-147 U/L 600 mL
>60: slightly higher 2020 mL
46 U/L 1000 mL
Day 2
Lactate (LD/LDH) 2400-0400
100 to 250 U/L >60 years: 55-102 U/L 0 mL
128 U/L 400 mL
400 mL
Blood type (ABO compatibility) 0 mL
Type: AB+ 600 mL
Cross match pending 600 mL
O+ 400 mL
600 mL
FLOW SHEET 0400-0800
Admission 400 mL
Day 1 400 mL
Oral (PO) Intake 800 mL
Intravenous (IV) Fluids 0 mL
Total Intake 2450 mL
Emesis 2450 mL
Urinary Output 1200 mL
Total Output 3050 mL
1400-1600
120 mL Test
400 mL Reference Range
520 mL Admission Day 1
0 mL Day 2
150 mL Electrocardiogram (ECG) tracing
150 mL SR 60-100 bpm
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