ED physician note
PROGRESS · Dr. W. Park · Mar 7, 2026, 1:50 AM
70F ESRD missed HD x2. K 7.2 with ECG changes: peaked T waves and widened QRS. Calcium gluconate 1 g IV given emergently in ED. Nephrology paged for emergent HD.
PS
Patrick Sullivan, MD
Attending Physician
Active Chart · MRN SYN-1015
Helen Lee
70 y/o F · Hyperkalemia with ECG changes
Chart Review
Encounter timeline and laboratory review
Encounter timeline
Linked visit history and responsible clinicians.
Inpatient
OPENHyperkalemia with ECG changes · Dr. Diana Frost
Started Mar 7, 2026, 1:20 AM
Labs
Recent resulted values for the active encounter.
| Collected | Test | Value | Reference |
|---|---|---|---|
| Mar 7, 2026, 1:35 AM | Calcium | 7.8 mg/dL | 8.5-10.5 |
| Mar 7, 2026, 1:35 AM | Bicarbonate | 16 mEq/L | 22-28 |
| Mar 7, 2026, 1:35 AM | BUN | 92 mg/dL | 7-20 |
| Mar 7, 2026, 1:35 AM | Creatinine | 8.4 mg/dL | 0.6-1.2 |
| Mar 7, 2026, 1:35 AM | Potassium | 7.2 mEq/L | 3.5-5.0 |
SIGNED
Notes
Progress and clinical documentation
ED physician note
PROGRESS · Dr. W. Park · Mar 7, 2026, 1:50 AM
70F ESRD missed HD x2. K 7.2 with ECG changes: peaked T waves and widened QRS. Calcium gluconate 1 g IV given emergently in ED. Nephrology paged for emergent HD.
Orders
Medication, lab, and imaging entry
Basic metabolic panel
LAB · Mar 7, 2026, 1:25 AM
Parameters: STAT
Rationale: Confirm potassium level.
ECG 12-lead
LAB · Mar 7, 2026, 1:25 AM
Parameters: STAT
Rationale: Evaluate for hyperkalemia-related changes.
Wrap-Up
Finalize documentation and orders
Signing this visit finalizes notes and promotes all remaining draft or pending orders to signed.