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Table 1 Initial blood sample in the emergency department

From: Early diagnosis of sepsis using an E-health application for a clinical early warning system outside of the intensive care unit: a case report

Examination

Result

Unit

Usual value

Interpretation

Blood chemistry tests

 Glucose

8.4

mmol/L

4.1–5.9

Above high normal

 Sodium

137

mmol/L

135–145

Normal

 Potassium

4.4

mmol/L

3.5–5

Normal

 Chlorine

98

mmol/L

98–108

Normal

 Bicarbonate

27

mmol/L

24–32

Normal

 Calcium

2.58

mmol/L

2.18–2.6

Normal

 Phosphorus

1.38

mmol/L

0.78–1.45

Normal

 Anion gap

16

mmol/L

 

 Plasma proteins

74

g/L

57–82

Normal

 Creatinine

139

µmol/L

44–71

Above high normal

 Urea

8.7

mmol/L

3.2–8.2

Above high normal

 Creatinine clearance (MDRD equation)

33

mL/min

> 90

Below low normal

 Aspartate aminotransferase (AST)

96

U/L

13–40

Above high normal

 Alanine aminotransferase (ALT)

122

U/L

< 40

Above high normal

 Total bilirubin

42

µmol/L

5–21

Above high normal

 Indirect bilirubin

21

µmol/L

< 18

Above high normal

 Alkaline phosphatase

217

U/L

46–116

Above high normal

 Gamma-glutamyl transferase

203

U/L

< 38

Above high normal

 Lipase

24

U/L

12–53

Normal

 CRP (C-reactive protein)

199.4

mg/L

< 5

Above high normal

 Procalcitonin

0.56

µg/L

  

Complete blood count (CBC)

 White blood cells

24.0

103/mm3

4–10

Above high normal

 Red blood cells

4.43

106/mm3

3.8–5.2

Normal

 Hemoglobin

14.9

g/dL

11.5–16

Normal

 Hematocrit

40.8

%

35–45

Normal

 Mean blood volume

92.1

µL3

80–100

Normal

 Mean blood content

30.0

pg

27–32

Normal

 Blood Hb concentration

32.6

%

32–36.5

Normal

 Platelets

195

103/mm3

150–400

Normal

 Formula: neutrophils

90.1%, 21.6 × 103/mm3

 

 Formula: eosinophilic polynuclears

0.0%, 0.0 × 103/mm3

 

 Formula: basophilic polynuclears

0.2%, 0.0 × 103/mm3

 

 Formula: lymphocytes

3.8%, 0.9 × 103/mm3

 

 Formula: monocytes

5.9%, 1.4 × 103/mm3

 

 Blood clotting tests

    

 PT: control

11.7

Seconds

 

 PT: patient

13.1

Seconds

 

 PT: prothrombin rate

80

%

70–100

Normal

 INR

1.11

 

 aPTT (control)

24.4

Seconds

 

 aPTT (sick)

23.6

Seconds

 

 aPTT (ratio)

0.97

Null

≤ 1.2

Normal

Arterial blood gas

 pH

7.426

Null

7.38–7.42

Above high normal

 PaO2

76.0

mmHg

80–100

Below low normal

 PaCO2

39.2

mmHg

38–42

Normal

 HCO3

26.5

mmol/L

21–28

Normal

 Base excess/deficit

1.4

mmol/L

 

 SaO2

94.0

%

95–99

Below low normal

 Arterial lactates

1.90

mmol/L

< 1.6

Above high normal

  1. PT prothrombin, INR International Normalized Ratio, aPTT Activated Partial Thromboplastin Time, pH potential of hydrogen, SaO2 oxygen saturation, PaO2 partial pressure of oxygen, PaCO2 partial pressure of carbon dioxide, HCO3 Concentration of hydrogen carbonate, Hb Hemoglobin, MDRD Modification of Diet in Renal Disease