Severe Metabolic Acidemia in a Patient with Aleukemic Leukemia

Table 1

Initial blood work results.

Name of test	Reading	Reference range
VBG PH	7.24	7.36 – 7.44
VBG PCO2	26 mmhg	36 – 44
VBG HCO3	11.1 mmol/L	22 – 66
VBG Base excess	-15.5 mmol/L	-2 - 3
Lactic acid	12.3 mmol/L	0.5 - 2.2
WBC	2.3 K/mm3	4.5 – 11
HGB	6.4 g/dl	12 – 16
HCT	17.3 %	36 – 42
PLTs	77 K/mm3	140 – 440
MCV	124.4 U3	80 – 100
RDW	16.2 %	0.5 - 16.5
Segs	33 %	36 – 75
Lymphs	62 %	24 – 44
Atypical Lymphs	1 %	0 – 7
Monocytes	2 %	4 – 10
Eosinophil	1 %	0 – 5
Basophil	1 %	0 – 2
Retic count	4.9 %	0.5 – 2
PT	13.8 sec	12.2 – 14.9
INR	1.1	1
PTT	28.2 sec	21.3 - 35.1
Na+	141 Meq/L	135 – 145
K+	3.7 Meq/L	3.5 – 5
Chloride	109 Meq/L	98 – 107
CO2	11 Meq/L	21 – 31
Blood glucose	101 mg/dl	70 – 105
BUN	23 mg/dl	7 – 23
Creatinine	1.18 mg /dl	0.60 – 1.30
Calcium	8.8 mg/dl	8.6 – 10.3
Total protein	6 g/dl	6.4 – 8.4
Albumin	3.8 g/dl	3.5 – 5.7
ALP	69 IU/L	34 – 104
AST	24 U/L	13 – 39
ALT	31 U/L	7 – 25
LDH	185 U/L	140 – 271
Serum osmolarity	297 mOsm/ Kg	283 – 299
Urine Na+	81 Meq/L	15 – 237
Urine K+	21 Meq/L	22 – 164
Urine CL-	24 mmol/L	24 – 255
Urine PH	6.5	5-8
Urine Osmolality	628 mOsm/kg	50 – 900
Urine glucose	Neg (mg/dl)	Negative