Pt. name:  Carson, Sarah                         Admitting Physician:   Dr. Cane        
Age:65                                            DOB:1/20/1948                               Bed: 244
Admitting diagnosis:Non-small cell carcinoma, right lung, recurrent
Pt. ID # 542768                                                Med Rec #:  78543
Wt. lbs: 114.8   kg: 52.2                 Ht.: 64 cm                                 Race: Hispanic
Major Support:  Husband, Daughter                                                                      Religion:Catholic

Immunizations: current
Allergies: NKDA

 
Nursing Map of Care
Complete Patient Assessment
BNP

CBC

 

Reference Range
10/01/2010
4.8 – 10.1  K/UL
18.2
RBC
4.2 – 5.4  M/UL
4.8
12 – 16 G/DL
14.7
37 – 47 %
45%
MCV
83 – 97 FL
88
MCH
27 – 47 PG
38
MCHC
33 - 36 G/DL
35
RDW
11.5 – 14.5 %
13.1
130 – 400 K/UL
238
MPV
7.2 – 11.1 FL
9.1
SEGS
40-74%
88%
LYMPHS
19-48%
19%
MONOS
3-9%
3%
EOS
0-7%
4%
BASO
0-2%
0
ABS SEG
1.9 – 8.0 K/UL
7.6
ABS LYMPH
0.9 – 5.2 K/UL
1.0
ABS MONO
0.1 – 1.0 K/UL
0.3
ABS EOS
0.0 – 0.8 K/UL
0.3
ABS BASO
0.0 – 0.2 K/UL
0.09
PT/PTT with INR
Reference Range
10/01/2010
11.5 - 15 seconds
13.1
0.9 - 1.2
0.98
22 - 41 seconds
33