Pt. name:  Dale Mayman                        Admitting Physician:   Dr. S Phillips       
Age: 51                                           DOB: 11/13/xx                             Bed: ER Bed 2
Admitting diagnosis: Confusion bleeding gums
Pt. ID # 542768                                                Med Rec #:  78543
Wt. lbs: 172  kg: 78                 Ht.: 71 inches                                 Race:Caucasian
Major Support:  Wife                                                                      Religion:Not stated

Immunizations: current
Allergies: Ace inhibitors (angioedema)

 
Nursing Map of Care
Complete Patient Assessment

 

CBC

 


 

Result

Reference Range

WBC

13.8

4.8 – 10.1  K/UL

RBC

5.3

4.2 – 5.4  M/UL

HGB

15.6

12 – 16 G/DL

HCT

46

37 – 47 %

MCV

 

83 – 97 FL

MCH

 

27 – 47 PG

MCHC

 

33 - 36 G/DL

RDW

 

11.5 – 14.5 %

PLT

120

130 – 400 K/UL

MPV

 

7.2 – 11.1 FL

Differential


 

Result

Reference Range

SEGS

72

40-74%

LYMPHS

34

19-48%

MONOS

6

3-9%

EOS

3

0-7%

BASO

2

0-2%

ABS SEG

7.8

1.9 – 8.0 K/UL

ABS LYMPH

3.4

0.9 – 5.2 K/UL

ABS MONO

0.6

0.1 – 1.0 K/UL

ABS EOS

0.3

0.0 – 0.8 K/UL

ABS BASO

 0.2    

0.0 – 0.2 K/UL