LABORATORIES PARAMETERS Complete Blood Count Date: September 10, 2011 Total WBC 15.8(INCREASED) X10^9/L 4.5-11.

0 White blood cells are mobile units of the body s infection-fighting system. White blood cells travel in the blood stream to areas of infection and destroys the responsible bacteria. High blood cell count could indicate the use of certain medications, such as corticosteroids, antibiotics or anti-seizure drugs. RBC s contain haemoglobin which carries oxygen. How much oxygen your body tissues get depends on how many RBC s you have and how well they work. Within the normal value RESULT UNIT NORMAL VALUES SIGNIFICANCE

Total RBC

4.57(NORMAL)

10^12/L

4.1-5.4

12.0-15.0 Hemoglobin 15.0(NORMAL) g/dL 37.0-47.0 Hematocrit 41.3(NORMAL) % 80-96 MCV 90(NORMAL) cu.u uug MCH 32.9(NORMAL) g/dL MCHC 36.4(INCREASE) 32-36 27-33

Within the normal value

Within the normal value

Within the normal value

Mean Corpuscular Hemoglobin Concentration is a calculation of the average concentration of hemoglobin inside a red cell. Increased MCHC values (hyperchromia) are seen in conditions where the hemoglobin is abnormally concentrated inside the red cells

% RDW-CV Differential Count % 3(NORMAL) Stabs % 89(INCREASE) Neutrophils(Segmenters) % Lymphocytes 8(DECREASE) 11.7(NORMAL)

11-16

Within the normal value

0-7

Within the normal value

50-70

May be related to the presence of microorganisms/ pathogen in the body.

20-45

Signifies presence of infection or inflammation. Patient may be more susceptible to certain types of infections. If the bone marrow is not functioning properly the lymphocytes decrease.

Platelet Count 225(NORMAL) PLT Count(Automated) X10^9/L 150-450 Within the normal value

PARAMETERS

RESULT

NORMAL VALUES

SIGNIFICANCE

Urinalysis September 10, 2011 Macroscopic

Pale straw Color

Light Straw to Dark Amber

NORMAL

Clear Transparency Slightly hazy 6.5 Reaction 1.020 Specific gravity + Sugar Proteins(ALB, GLOB) Trace Negative Negative 1.003-1.030 4.5-8

NORMAL

NORMAL

NORMAL

Shows a positive result about presence of sugar in the urine. Results shows that there is presence of proteins in the urine.

Microscopic 0-3 hpf Red Blood Cells 0-1 hpf Pus Cells Casts NONE Waxy NONE Hyaline Fine NONE NONE NORMAL NONE NORMAL NONE NORMAL 0-3/ hpf NORMAL 0-3 / hpf NORMAL

NONE Coarse NONE Abnormal Crystals NONE

NORMAL

NORMAL

Normal Crystals FEW Amorphous Urates FEW NORMAL

Miscellaneous FEW Squamos Epithelial FEW Bacteria FEW NORMAL FEW NORMAL

PARAMETERS Fasting Blood Sugar September 11, 2011

RESULT

UNIT

NORMAL VALUES

SIGNIFICANCE

Fasting Blood Sugar

9.88H(INCREASE)

mmol/L

4.10-5.90

Use to screen or to diagnose patients with diabetes or pre diabetes

Uric Acid

0.62H(INCREASE)

mmol/L

0.16-0.43

4.03(NORMAL) Total Cholesterol 0.82(NORMAL) Triglycerides 2.28(INCREASE) HDL-Cholesterol

mmol/L

-<5.2

Increased concentration of uric acid can cause crystals to form in the joints, which can lead to joint inflammation and pain. Increased uric acid may be related to excess caffeine intake Shows a normal result.

mmol/L

-<1.70

Shows a normal result.

mmol/L

0.90-1.55

1.40(NORMAL) LDL Cholesterol

mmol/L

-<3.90

Alcohol consumption tends to raise HDL levels and moderate alcohol consumption is associated with lower cardiovascular and all-cause mortality. Shows a normal result.

PARAMETERS

RESULT

UNIT

NORMAL VALUES

SIGNIFICANCE

106.15(NORMAL) Creatinine 54(NORMAL) SGPT(ALT)

mmol/L

53-115

This test is done to evaluate the function of the kidney. Injury to organs other than the liver, such as the heart and skeletal muscles , can cause slight elevation of ALT.

u/L

30-65

142(NORMAL) Sodium 3.2L(DECREASE) Potassium

mmol/L

136-145

Highest concentration of all the electrolytes Serum or plasma test for potassium are routinely performed in patients when they are investigated for any type of serious illness. Also, because potassium is important to heart function it is usually ordered during all complete routine evaluations. Hypokalemia(low potassium level) increases cardiac instability and the occurrence of ventricular dysrhythmias. Shows normal result.

mmol/L

3.5-5.1

2.30(NORMAL) Calcium

mmol/L

2.12-2.52

0.74-0.99 Magnesium 0.54(DECREASE) mmol/L

Laboratory test is below normal level because this could indicate low dietary intake as seen in elderly malnourished and with alcoholism.

PARAMETERS

RESULT

UNIT

NORMAL VALUES

SIGNIFICANCE

Prothrombin Time 11.5(NORMAL) Patient Clotting Time Sec 11-16 Shows normal result.

107.3(INCREASE) Prothrombin Activity 0.87(NORMAL) INR 12.2(NORMAL) Control Clotting Time 97.2(NORMAL) Prothrombin Activity 0.94(NORMAL) INR Diagnostic Screening

80-100

Elevated prothrombin concentration could be associated with an increased thrombotic risk. Shows normal result.

0.8-1.2

Sec

11-16

Shows normal result.

80-100

Shows normal result.

0.8-1.2

Shows normal result.

-expressed in Prothrombin Time: 70%-120% -expressed as Ratio: R less than or equal to 1.2

Anticoagulant Therapy Monitoring American Recommendation -Prophylaxis of venous thrombosis INR: 2-3 %35-23

Treatment of Venous Thrombosis and Pulmonary Embolism

-Prevention of Systematic Arterial Embolism

INR: 2.5-3.5

%29-20

Medical Prosthetic Heart Valves

APTT Control 32.3(NORMAL) Sec Shows normal result.

28.9(NORMAL) APTT

sec

25-35

Shows normal result.

PARAMETERS Troponin 1

RESULT September 10, 2011 September 11, 2011

UNIT

NORMAL VALUES

SIGNIFICANCE

Troponin 1

0.03 H

0.54 H

Ug/L

-<0.01

The troponin test is used to help diagnose a heart attack, to detect and evaluate mild to severe heart injury, and to distinguish chest pain

that may be due to other causes. In patients who experience heart related chest pain, discomfort, or other symptoms and do not seek medical attention.

PARAMETERS

RESULT September 10, 2011 September 11, 2011

UNIT

NORMAL VALUES

SIGNIFICANCE

Blood Gas and Acid Base Balance Analysis Resp. Rate: 26 breaths per minute O2 : 2L/ min Temp: 36 C Acid Base Status Temp: 36.1 C FiO2: 100%

 Alkalosis

Acidosis Metabolic

 Respiratory

 Compensated

Uncompensated

Mixed 7.500(INCREASE) Ph 7.421(NORMAL) 7.35-7.45 Ph is elevated because patient experience myocardial infarction and gastric suctioning or vomiting. Decrease in PCO2 actually results in an increased pH. Shows normal result.

PCO2

30.4(DECREASE)

19.4(DECREASE)

mmHg or TORR

35-45

PO2

82(NORMAL)

273.0(INCREASE)

mmHg or TORR

80-100

HCO3

24(NORMAL)

12.7(DECREASE)

Mmol/L

22-27

Shows normal result.

24.9(NORMAL) TCO2 97.5(NORMAL) O2 Sat (+) 0.3 B.E.

13.4(DECREASE)

Mmol/L

22-27

Shows normal result.

99.9(NORMAL)

90-110

Shows normal result.

(-) 12.1

Mmol/L

+/-

Shows a normal result.

Remarks: 199.64-38.2=161.44 I 24.25=688.75

0.50792864 II 27% III

0.40 0.31

PARAMETERS Potassium September 11, 2011

RESULT September 12, 2011

UNIT

NORMAL VALUES

SIGNIFICANCE

Potassium

3.2 L(DECREASE)

2.9(DECREASE)

Mmol/L

3.5-5.1

Loss of electrolytes due to intolerance of food and fluids and vomiting

PARAMETERS Magnesium September 12, 2011

RESULT

UNIT

NORMAL VALUES

SIGNIFICANCE

Magnesium

2.9 H(DECREASE)

Mmol/L

3.5-5.1

Laboratory test is below normal level because this could indicate low dietary intake as seen in elderly malnourished and with alcoholism.