Labs
Fever, hypotension, and a lactate to follow
introA 66-year-old with pyelonephritis is resuscitated in the ED. You are following her numbers over six hours.
Results · trended
| Test | 17:00 arrival | 20:00 after fluids + antibiotics | 23:00 | Trend | Reference |
|---|---|---|---|---|---|
| Lact | 4.8HH | 2.9H | 1.6 | 0.5–2.2 mmol/L | |
| WBC | 18.4H | 17.1H | 15.8H | 4–11 ×10⁹/L | |
| Cr | 148H | 139H | 131H | 60–110 µmol/L | |
| HCO3 | 18L | 20L | 22 | 22–28 mmol/L |
Which trend is the most reassuring?