CC: ARF

INTERVAL HISTORY: Patient has severe but non-oliguric ARF, which has worsened over the past two days and is now associated with moderate hyperkalemia. Denies SOBAR or N/V.

Exam: NAD, conversant. BP 118/80, RR 24, HR 98. NECK: No JVD. Lungs CTA. HEART: RRR, no MRGs; no peripheral edema.

Data: BUN 86, creatinine 3.6, K 5.6, HGB 8.7, PLT 168

Impression

1. Worsening ARF
2. New moderate hyperkalemia
3. Worsening anemia

Plan

1. Transfuse 2 units PRBCs
2. Increase NS to 150 cc/hr
3. Low K diet
4. Repeat CBC and chem 7 in a.m.

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