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Gilbert Program in Medical Simulation Simulation Casebook Harvard Medical School Draft of the 1 st edition (2011), updated 3/2/12 d. Complications i. Rare, but do occur: Mallory-Weiss tears, severe dehydration/malnutrition VII. Development and Deployment This case was developed as part of a graduate-level science course (college, PhD students), and has been deployed as a recurrent course offering. VIII. Authors/Contributors Case drafted by Julia Khodor, Ph.D, with Emily Hayden, M.D.; additional contributions and updates by the Gilbert Simulation Team. Compiled and formatted by Elan Guterman. Reviewed and edited with references by Jeffrey Siegelman, M.D. and Zoë Howard, M.D. 72
Gilbert Program in Medical Simulation Simulation Casebook Harvard Medical School Draft of the 1 st edition (2011), updated 3/2/12 X. Appendix A: Lab Values Initial: ARTERIAL BLOOD GAS Reference Range pH 7.19 7.35-7.45 pCO 2 25 35-45 mmHg pO 2 80 60-100 mmHg HCO 3 8 24-28 mmol/L Sa O 2 99 97-100% FiO 2 .21 .21 *Anion gap 17.9 (7-13) At initial presentation BASIC METABOLIC PANEL Reference Range Sodium 141 135-147 mmol/L Potassium 2.5 3.5-5.2 mmol/L Chloride 98 95-107 mmol/L CO 2 8 22-30 mmol/L Urea Nitrogen (BUN) 36 7-20 mg/dL Creatinine 1.4 0.5-1.2 mg/dL Glucose 86 60-110 mg/dL ***Glu, post-consult, if no sugar provided: 68 mg/dL CHEMISTRY TESTS Reference Range Lactic Acid 1.3 0 – 1.5 mEq/L Lipase 34 7 – 60 IU/L COMPLETE BLOOD COUNT Reference Range WITH DIFFERENTIAL Male Female White Blood Cell (WBC) 11,000 4,500 - 10,000 K/uL 73
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