Table 2.
Lab trends comparing pre- and post- second exploratory laparotomy.*
| Pre-Op Labs | Post-Op Labs | ||||
|---|---|---|---|---|---|
| At 10 hours | At 16 hours | At 18 hours | At 21 hours | At 24 hours | |
| Lactate (mmol/L) | 7.1 | 5.0 | 7.2 | 9.8 | 12.1 |
| Sodium (mmol/L) | 144 | 148 | 151 | 153 | |
| Potassium (mmol/L) | 5.1 | 5.6 | 5.3 | 4.4 | |
| Chloride (mmol/L) | 109 | 116 | 116 | 116 | |
| CO2 (mmol/L) | 14 | 13 | |||
| Anion Gap (mmol/L) | 21 | 19 | 23 | 22 | |
| BUN (mg/dL) | 28 | 31 | 30 | 32 | |
| Creatinine (mg/dL) | 1.16 | 0.71 | 1.06 | 1.10 | |
| Calcium (mg/dL) | 5.4 | <5.0 | 7.1 | 7.0 | |
| Calcium (ionized) (mg/dL) | 3.3 | 4.1 | 3.9 | ||
| Magnesium (mg/dL) | 2.5 | ||||
| AST (units/L) | 764 | 611 | |||
| ALT (units/L) | 231 | 171 | |||
| Albumin (g/dL) | 1.3 | 0.7 | 1.4 | 2.1 | |
| Venous blood gas | |||||
| pH | 7.08 | 7.04 | 6.91 | 7.09 | 7.12 |
| pCO2 (mmHg) | 47 | 42 | 40 | 34 | 41 |
| HCO3 (mEq/L) | 13.6 | 11.0 | 7.8 | 9.9 | 13 |
| Base Excess (mEq/L) | −16.3 | −19.2 | −24.9 | −19 | −15.7 |
| Prothrombin (s) | 32.7 | ||||
| INR | 2.8 | ||||
| aPTT (s) | 104 | ||||
| Fibrinogen (mg/dL) | 133 | ||||
*
Time indicated is in hours from admission.
Labs closest to the indicated hour are presented. Her initial laparotomy occurred at seven hours post admission, with her repeat surgery occurring 18 hours post admission.