ICU Protocols pp 441-446 | Cite as




A 75 -year-old male patient, a case of chronic obstructive pulmonary disease (COPD), was transferred from another hospital with complaints of fever, increased breathlessness for 5 days, and altered sensorium since yesterday. He also had an episode of seizure yesterday. He was being managed on the lines of acute exacerbation of COPD with cor pulmonale with pneumonia. He received antibiotics and diuretic therapy in the previous hospital. On evaluation, his laboratory values showed hemoglobin 13 g/dL, packed cell volume of 38.5%, serum sodium 160 mEq/L, serum potassium 3.0 mEq/L, serum urea 146 mg/dL, and serum creatinine of 1 mg/dL.


Chronic Obstructive Pulmonary Disease Serum Sodium Packed Cell Volume Urine Osmolality Serum Osmolality 
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© Springer India 2012

Authors and Affiliations

  1. 1.Department of Respiratory, Critical Care & Sleep MedicineIndraprastha Apollo HospitalsNew DelhiIndia
  2. 2.Department of Respiratory Medicine and Critical CareIndraprastha Apollo HospitalsNew DelhiIndia
  3. 3.Department of Nephrologylndraprastha Apollo HospitalsNew DelhiIndia

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