8th July 2024

An 89-year-old on twice a day dialysis 5 days a week is admitted after a fall and right neck of femur fracture

An 89-year-old on twice a day dialysis 5 days a week is admitted after a fall and right neck of femur fracture. She has been listed for surgery but has missed dialysis 2 days in a row.

Observations:


Blood Pressure	150/78 mm HG
Heart Rate	92 /min
SpO2	96% on RA
Temperature	36,7 ⁰C

Laboratory analysis:


Haemoglobin	11.0 g/dl	Sodium	134 mmol/dl
White Blood Corpuscles	13.2 x 10^6	Potassium	5.5 mmol/dl
Platelets	376 x10^6	Corrected Calcium	2.42 mmol/dl
Creatinine	382 mmol/dl	Phosphate	1.9 mmol/dl
Urea	27.8 mmol/dl	CRP	43.5 mg/l
Albumin	32 mg/l	Glucose	7.1 mmol/dl

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