Chart Audit — K.P.O. | PAWS 🐾
K.P.O.
DOB: 01/07/1963 MRN: SIM-02112026 Full Code ⚠ Cephalosporins · Sulfonamides
Elapsed 00:00:00 ⏸ Waiting 🔍 20 ERRORS HIDDEN
Admit Date02/11/2026 – 2215
AttendingDr. A. Martinez, MD
UnitEmergency Department
Admitting DxALOC – Respiratory / Syncope
Code StatusFull Code
Overview
Vitals
Labs
Medications
Active Orders
Notes
Assessment
Diagnostics
✅ Submit Answers
🚨
CRITICAL VALUES ON FILE — Immediate action required
K⁺ 5.9 mEq/L (HH) · pH 7.27 (LL) · pCO₂ 78 mmHg (HH) · pO₂ 60 mmHg (L) · Hgb 9.7 g/dL (L)
👤 Demographics & Social History
NameK.P.O. Age / Sex Height / Weight5'4" (163 cm) · 163 kg · BMI 61.8 Living SituationAssisted Living Facility (ALF) Support SystemNiece (primary support) Functional BaselineWalker + wheelchair; assist with ADLs Tobacco/ETOH/DrugsAll denied Code StatusDNR / DNI AllergiesCephalosporins (Rash) · Sulfonamides (Rash)
🐾 Past Medical & Surgical History
Active Diagnoses
Obesity Hypoventilation Syndrome Sleep Apnea (CPAP 4L O₂) COPD CHFHTNHLD EdemaArthritisDepression
Surgical History
Cataract SurgeryCholecystectomy
Allergies
⚠ Cephalosporins – Rash (Intermediate)
📋 History of Present Illness

62-year-old female with obesity hypoventilation syndrome, COPD, CHF, sleep apnea (CPAP with 4L O₂) brought BIBA from ALF after caregiver found her unresponsive. CPAP mask was on face but disconnected from O₂ source; machine and mask covered in vomit. EMS applied sternal rub to arouse. Scene SpO₂ on RA: 80%. Patient fully alert and oriented upon ED arrival. Denies fevers, chills, diarrhea, cough.

Chief ComplaintALOC / Syncope + Vomiting Time Seen2215 — 02/11/2026 TransportBIBA from ALF via EMS Scene FindingCPAP disconnected from O₂; vomit in mask Initial SpO₂ (RA)88% at scene
📈 Vital Signs Timeline
Date/TimeTempHRRR BPMAPSpO₂O₂ DeliveryPain
02/11 2210 (Scene) 80%Room Air
02/11 2218 (ED Admit) 38.2°C10224 88/546580%4L NC + BiPAP0/10
02/11 2235 7721123/9598%4L NC0/10
02/12 0000 6815 125/105112100%4L NC0/10
02/12 0335 8323 138/108118 96%4L NC0/10
02/12 0530 36.6°C8617 107/647898%BiPAP0/10

ℹ Ht: 5'4" · Wt: 163 kg · BMI: 61.8 · MAP ≥65 required · VS ordered Q2H

🔬 Laboratory Results
TestReferenceResultFlagClinical Significance
HEMATOLOGY — CBC — Drawn 02/11 2225
WBC4.5–10.7 x10³/uL12.9HElevated — active immune response; bacterial UTI
RBC3.50–5.50 xMIL/uL3.53WNL
Hemoglobin12.0–15.0 g/dL9.7LMild anemia; impairs O₂ delivery compounded by COPD
Hematocrit36–45%34LCorrelates with mild anemia
MCV81–99 fL96WNL
MCHC32–36 g/dL29LMild hypochromia
Platelets130–400 x10³/uL264WNL
Neutrophils %54.0–70.0%86.1HLeft shift — supports active bacterial infection
Lymphocytes %30.0–45.0%8.1LRelative lymphopenia
CHEMISTRY — CMP — Drawn 02/11 2225
Sodium (Na⁺)136–144 mmol/L140WNL
Potassium (K⁺) Initial3.6–5.1 mmol/L5.9HH ‼CRITICAL — Severe hyperkalemia. Dysrhythmia risk.
Potassium (K⁺) Repeat3.6–5.1 mmol/L4.8WNLDrawn 0500 — Trending ↓ 5.9→4.8 ✓  [Repeat ordered 0230; drawn 0500 — 30 min late]
Chloride (Cl⁻)101–111 mmol/L97LConsistent with chronic CO₂ retention
CO₂ (Serum Bicarb)22–32 mmol/L36HChronic renal compensation
BUN8–26 mg/dL49HReduced renal perfusion (CHF)
Creatinine0.6–1.1 mg/dL0.9WNL
eGFR (MDRD)>6062.8WNLBorderline — pharmacist review required
Glucose (Initial)70–110 mg/dL122HMild stress hyperglycemia
Glucose POC (0426)70–120 mg/dL116WNLPost D50/Insulin — no hypoglycemia ✓
Albumin3.5–5.0 g/dL3.6WNLLow-normal — malnutrition risk
Ammonia (NH₃)9–35 umol/L44HMildly elevated — monitor for encephalopathy
COAGULATION
PT12.1–14.5 sec12.9WNL
INR<1.21.0WNL
APTT24–33 sec26WNL
CARDIAC / TOXICOLOGY
Troponin I (High Sens)0–40 pg/mL4WNLPertinent Negative — no MI ✓
Lactate<2 mmol/L0.8WNLPertinent Negative — no septic shock ✓
Salicylates0–30 mg/dL<4WNLNegative
Ethyl Alcohol<0.005 g%<0.005WNLNegative
🚨 STAT ED Medications — Administered This Shift
DrugDose / Route / TimeHypothesis AddressedPatient ResponseStatus
Calcium Gluconate 1 gm IV STAT — 02/12 0230 H#1 — Membrane stabilization NSR maintained. No widened QRS. DC 0231
Insulin Human Regular
Novolin R
10 units IV STAT — 02/12 0230 H#1 — Shift K⁺ intracellularly K⁺ 5.9 → 4.8 ✓ DC 0231
Dextrose 50% (D50W) 50 mL IV BOLUS — 02/12 0230 H#1 — Prevent hypoglycemia POC glucose 116 mg/dL at 30 min. DC 0404
Furosemide (Lasix) 40 mg IV STAT — 02/12 0230 H#1 (renal K⁺ excretion) + CHF UO increased 250 mL first hour. DC 0302
Sodium Bicarbonate 50 mEq IV STAT — 02/12 0230 H#2 — Respiratory acidosis RR unlabored at 17. DC 0427
Piperacillin/Tazobactam
Zosyn — allergy-safe ✓
3.375 g IV STAT — 02/12 0242 H#3 — Active UTI Tolerated. IV site patent. DC 0311
Kayexalate / Patiromer
Bowel assessment: Not documented
10 gm PO-Liquid — 02/12 0230 H#1 — GI K⁺ excretion Swallowed without difficulty. DC 0301
🏠 Home Medications — Reconciled
DrugDose / Route / FrequencyCategory / Notes
Furosemide (Lasix)40 mg PO DailyLoop Diuretic — CHF/Edema
Levothyroxine (Levothroid)0.2 mg PO Daily ACThyroid Hormone
Benazepril HCl10 mg PO DailyACE Inhibitor — HTN · ⚠ May worsen hyperkalemia
Gabapentin (Neurontin)300 mg PO Q8HNeuropathic Pain
Baclofen (Lioresal)10 mg PO Q6HMuscle Relaxant
Doxycycline Hyclate (Vibramycin)100 mg PO BIDAntibiotic
Dexamethasone (Decadron)6 mg PO DailyCorticosteroid · ⚠ May worsen stress hyperglycemia
Famotidine (Pepcid)40 mg PO BIDH₂ Blocker — GI protection
Potassium Chloride (KCl)PO DailyElectrolyte · HOLD — K⁺ 5.9
Acetaminophen (Tylenol)4 GM PO PRN PainAnalgesic · No frequency limit documented
MultivitaminPO DailySupplement

⚠ GFR 62.8 = reduced renal clearance. ACE-I + Dexamethasone require pharmacist reconciliation pre-discharge.

📋 Active & Completed Orders
#Date/TimeOrder CategoryProviderStatus
102/11 2225Continuous Cardiac Monitor — telemetry with rhythm strip Q2HMonitoringDr. A. MartinezActive
202/11 2225Pulse Oximetry — ContinuousMonitoringDr. A. MartinezActive
302/11 2225Vital Signs Q2HMonitoringDr. A. MartinezActive
402/11 2210Oxygen Administration — 4L/min Nasal Cannula (COPD target SpO₂ 88–92%)RespiratoryDr. A. MartinezActive
502/11 2225Insert Peripheral IV Line — 22G right forearmProcedureDr. A. MartinezComplete
602/11 2225CBC with DifferentialLabDr. A. MartinezComplete
702/11 2225CMP (BMP + hepatic panel)LabDr. A. MartinezComplete
802/12 0241Blood Culture x2 — Bilateral VenipunctureMicrobiologyDr. A. MartinezPending
902/12 0230Calcium Gluconate 1 gm IV — STATMedicationDr. A. MartinezComplete
1002/12 0230Insulin Regular 10 units IV — STATMedicationDr. A. MartinezComplete
1102/11 2225High Fall Risk Precautions — bed lowest, wheels locked, bed alarm, call lightSafetyDr. A. MartinezActive
1202/11 2225Strict Intake & Output (I&O) — Hourly DocumentationNursingDr. A. MartinezActive
1302/12 0230Repeat BMP in 2 hours — following hyperkalemia cocktailLabDr. A. MartinezComplete
1402/11 2225Foley Catheter Insertion — strict I&O, urine C&SProcedureDr. A. MartinezComplete
1502/11 2225BiPAP — 10/5 cmH₂O — CO₂ retention / OHSRespiratoryDr. A. MartinezActive

Active = ongoing  |  Complete = executed  |  Pending = awaiting results

📝 Clinical Notes — Newest first
RN Note Handoff / SBAR 02/12/2026 0720 — S. Nguyen, RN, BSN  |  Signed: 02/12 0731

S: K.P.O., 62yo female, admitted 02/11 2215 for ALOC secondary to CO₂ narcosis from disconnected CPAP. Now stable and neurologically intact (AOx4).

B: OHS, Sleep Apnea, COPD, CHF, HTN. Allergies: Cephalosporins (Rash), Sulfonamides (Rash). Full Code. ALF resident.

A: Neuro AOx4. SpO₂ 94% on BiPAP. HR 78, BP 118/72. Foley — 820 mL UO this shift. K⁺ repeat 4.8 ✓. Blood cultures pending.

R: Continue telemetry, strict I&O, BiPAP compliance. Await repeat ABG, cultures.

Provider Note Addendum 02/12/2026 0600 — Dr. A. Martinez, MD  |  Signed: 02/12 0614

Reassessment: Patient markedly improved. AOx4 as of 0550. Hemodynamically stable. SpO₂ 94% on BiPAP.

Hyperkalemia: Repeat K⁺ 0500 = 4.8 mEq/L ✓. KCl HOLD — do not resume until repeat BMP.

Infection: Zosyn dose 1 complete. Cultures pending. No fever at 0600. Ammonia mildly elevated but within normal limits — will monitor.

RN Note ⚠ Critical Value 02/12/2026 0230 — S. Nguyen, RN, BSN  |  Signed: 02/12 0237

0228: Lab called with critical K⁺ 5.9 mEq/L. Dr. Martinez paged STAT. Callback 0230. VOPO orders — read back confirmed.

0242: All STAT medications obtained from Pyxis, verified against MAR, administered in sequence. Two identifiers confirmed. No adverse reactions.

RN Note Initial Assessment 02/11/2026 2218 — S. Nguyen, RN, BSN  |  Signed: 02/11 2240

Arrival 2215. Patient received from EMS. Scene: CPAP disconnected from O₂. SpO₂ 80% on scene.

Initial VS (2218): BP 88/54 | HR 102 irregular | RR 24 | Temp 38.2°C | SpO₂ 80%→88% (4L NC + BiPAP)

Allergies Verified: Cephalosporins (Rash), Sulfonamides (Rash) — armband placed.

Procedure: Straight catheter inserted for urine sample — cloudy amber urine. UA/C&S sent.

Labs Drawn 2225: CBC, CMP, UA/C&S, Troponin, Ammonia, ETOH/Tox, Lactate — sent to lab.

MD Notification: Dr. Martinez notified 2220. Orders received and transcribed.

🔍 Head-to-Toe Assessment
🧠 Neuro / Mental Status
Admission (2218): ALOC — lethargic, GCS 9 (E2V3M4). Pupils 4mm bilat, sluggish. CO₂ narcosis (pCO₂ 78).
0720: AOx4. GCS 15. Conversational.
Ammonia: Mildly elevated — within normal limits per provider note. Continue to monitor.
🫁 Respiratory
Admission: SpO₂ 80%. RR 24, labored. ABG: pH 7.27 / pCO₂ 78 / HCO₃ 31 / pO₂ 60.
0720: SpO₂ 94% on BiPAP. RR 17, unlabored. Equal bilateral breath sounds.
❤️ Cardiovascular
Admission: HR 102 irregular. BP 88/54. No peaked T-waves despite K⁺ 5.9.
0720: HR 78 regular. BP 118/72. +2 pitting edema bilateral LE. NSR on telemetry.
💧 GU / Renal
Foley catheter in place — cloudy, amber urine. UA: nitrite +. UO 820 mL this shift post-Lasix. Strict I&O ordered.
🩹 Skin / Integumentary
Braden Score: 14 (Moderate Risk). Deep skin folds: moist, erythematous. Coccyx: intact but pink. Moisture-barrier cream applied. Q2H turns initiated.
🩸 ABG — 02/11 2245
pH
7.27
7.35–7.45
pCO₂
78
35–45 mmHg
HCO₃
31
22–26 mEq/L
pO₂
60
80–100 mmHg
SaO₂
88%
≥95%
🔴 Uncompensated Respiratory Acidosis — CO₂ narcosis consistent with CPAP failure + OHS
🧪 Urinalysis — 02/12 0030
ParameterResultReferenceFlag
Urine ColorAmber/CloudyYellow/ClearH
Urine NitritePOSITIVENegativeH ‼
Leukocyte EsteraseNEGATIVENegativeWNL
WBC (micro)12–150–5 /hpfH
BacteriaManyNoneHH
🦠 Active bacterial UTI confirmed. Zosyn initiated.
📷 Chest X-Ray — 02/11 2304
PneumothoraxNegative ✓ CardiomegalyPositive — present InfiltratesNone ✓ Pleural EffusionNone ✓ Pulm. CongestionBilateral ImpressionUnchanged from 07/06/23
❤️ ECG — 02/11 2225
Rate63 bpm RhythmNSR with occasional PACs ConductionIVCD (new) STEMINo STEMI ✓ Peaked T-WavesAbsent at time of draw
⚠ K⁺ = 5.9 — telemetry mandatory.
🧫 Microbiology
Blood Culture x2ORDERED 0241 — Pending Urine C&SOrdered — Pending
⏳ Empiric Zosyn. Final ID 48–72 hrs.

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