The 20-year-old healthy soccer player is brought to the emergency department after collapsing at the end of a summer soccer game. The patient is lethargic and confused about the event. Upon assessment, the nurse notes flushed, dry skin that is warm to the touch. The oral mucosa is dry, as well. Vitals are as follows: temperature 40.7°C, heart rate 122 bpm, respiratory rate 20, and blood pressure 116/64 mmHg. Which lab studies does the nurse obtain? Select all that apply.

Question

The 20-year-old healthy soccer player is brought to the emergency department after collapsing at the end of a summer soccer game. The patient is lethargic and confused about the event. Upon assessment, the nurse notes flushed, dry skin that is warm to the touch. The oral mucosa is dry, as well. Vitals are as follows: temperature 40.7&deg;C, heart rate 122 bpm, respiratory rate 20, and blood pressure 116/64 mmHg. Which lab studies does the nurse obtain? Select all that apply.

Accepted Answer

Prothrombin, Creatine kinase , Renal function panel , Complete blood count , Serum electrolyte panel , Activated partial thromboplastin time. The patient is exhibiting signs of exertional heat stroke (EHS). This can cause systemic inflammatory response syndrome (SIRS) and affect every body system. A CBC is useful to detect hemolysis of red blood cells and platelet count. The serum electrolyte panel helps to detect exercise-induced hyponatremia, among other electrolyte abnormalities. Creatine kinase is elevated in times of rhabdomyolysis, which can occur with EHS. This can cause kidney damage, so a renal function panel is necessary. EHS can cause coagulopathy, so coagulation studies (prothrombin and activated partial thromboplastin time) are helpful.

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