Scenario 10.2 Opioid Overdose
ECG
CT Head Radiology Preliminary Read: Normal
Portable Chest X-ray Radiology Preliminary Read: Normal
Complete Blood Count ValueNormal range WBC bil/L HGB g/dL HCT % Plts bil/L
Complete Metabolic Panel ValueNormal range Na mmol/L K mmol/L Cl mmol/L CO mmol/L BUN mg/dL Cr mg.dL Glu mg/dL Ca mmol/L Total protein g/dL Albumin g/dL AST U/L ALT60-37 U/L Alk. phos U/L T. Bili mg/dL
Cardiac Enzymes ValueNormal range CK U/L CK-MB ng/mL Trop-I<0.06 0.06 ng/mL Cardiac Enzymes
Pro-B Natriuretic Peptide ValueNormal range BNP112<100 pg/mL Pro-B Natriuretic Peptide
Urinalysis Clarityclear Coloryellow Glucosenegativenegative mg/dL Bilirubinnegative Ketonesnegativenegative mg/dL Sp. grav Bloodnegative pH Proteinnegativenegative mg/dL Urobilinogennegative<0.2 EU/dL Nitritesnegative Leukocytesnegative
Lactate ValueNormal range Lactate mmol/L
Coagulation Panel ValueNormal range PT s PTT s INR – 1.2
Urine Toxicology ValueNormal Range Amphetamine/Ecstasynot detected Barbituratesnot detected Benzodiazepinesnot detected Cocaine metabolitenot detected Sp codeine/morphinenot detected THCnot detected Methadonenot detected
Serum Toxicology (- acetaminophen) ValueNormal Range Acetaminophen 170 g/mL not detected Ethanol40 mg/dLnot detected Salicylatesnot detected
ValueNormal Range Acetaminophennot detected Ethanolnot detected Salicylatesnot detected Serum Toxicology (+ acetaminophen)