Pulmonology consult
CONSULT · Dr. E. Park · Mar 6, 2026, 11:00 AM
Severe COPD exacerbation with acute-on-chronic hypercapnic respiratory failure. Consider BiPAP. Low suspicion for bacterial PNA given low procalcitonin.
PS
Patrick Sullivan, MD
Attending Physician
Active Chart · MRN SYN-1006
William Thompson
74 y/o M · Acute COPD exacerbation
Chart Review
Encounter timeline and laboratory review
Encounter timeline
Linked visit history and responsible clinicians.
Inpatient
OPENAcute COPD exacerbation · Dr. Hannah Cole
Started Mar 6, 2026, 9:30 AM
Labs
Recent resulted values for the active encounter.
| Collected | Test | Value | Reference |
|---|---|---|---|
| Mar 6, 2026, 9:50 AM | Procalcitonin | 0.3 ng/mL | <0.5 |
| Mar 6, 2026, 9:50 AM | WBC | 13.2 K/uL | 4.0-10.5 |
| Mar 6, 2026, 9:50 AM | ABG pO2 | 52 mmHg | 80-100 |
| Mar 6, 2026, 9:50 AM | ABG pCO2 | 58 mmHg | 35-45 |
| Mar 6, 2026, 9:50 AM | ABG pH | 7.31 | 7.35-7.45 |
SIGNED
Notes
Progress and clinical documentation
Pulmonology consult
CONSULT · Dr. E. Park · Mar 6, 2026, 11:00 AM
Severe COPD exacerbation with acute-on-chronic hypercapnic respiratory failure. Consider BiPAP. Low suspicion for bacterial PNA given low procalcitonin.
Orders
Medication, lab, and imaging entry
Chest X-ray
IMAGING · Mar 6, 2026, 9:40 AM
Parameters: Routine
Rationale: Rule out pneumonia or pneumothorax.
ABG
LAB · Mar 6, 2026, 9:40 AM
Parameters: STAT
Rationale: Assess ventilation and acid-base status.
Wrap-Up
Finalize documentation and orders
Signing this visit finalizes notes and promotes all remaining draft or pending orders to signed.