From: Severe diaphoresis and fever during alcohol withdrawal cause hypovolemic shock: case report
 |  | Hospital day | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 |
---|---|---|---|---|---|---|---|---|---|---|
Alcohol withdrawal syndrome | none | none | none | mild | severe | severe | severe | mild | mild | |
Vital signs | Blood pressure (mmHg) | 96/63 | 122/73 | 128/77 | 126/82 | 150/97 | 115/48 | 75/48 | 105/62 | 126/79 |
Pulse rate (beats/min) | 94 | 83 | 84 | 119 | 118 | 101 | 115 | 81 | 83 | |
Body temperature (°C) | 36.7 | 36.4 | 36.3 | 36.6 | 36.6 | 38.9 | 37.5 | 38.6 | 37.3 | |
In/Out | Oral food intake (%) | 0% | 0% | 0% | 33% | 100% | 90% | 83% | 75% | 88% |
Infusion (ml) | 3750 | 2100 | 1600 | 1100 | 1000 | 0 | 2500 | 2500 | 1000 | |
Urine output (ml) | 1800 | 1900 | 2000 | 940 | 1200 | NA | NA | NA | NA | |
Diaphoresis | none | none | none | none | mild | severe | severe | none | None | |
Bio-chemical tests | Albumin (mg/dl: normal range 4.1–5.1) | 3.2 | 2.8 |  | 3.1 |  |  | 3.2 | 2.9 | 2.8 |
Total Bilirubin (mg/dl: normal range 0.4–1.5) | 3.0 | 2.8 |  | 3.2 |  |  | 3.4 | 2.8 | 2.5 | |
Prothrombin Time (%, normal range 70–130) | 69.1 | 84.7 |  | 78.3 |  |  | 70.5 | 83.4 | 71.7 | |
Ammonia (μmol/L: normal range < 75) | 61 | 76 |  | 72 |  |  | 52 |  | 65 | |
Sodium (mmol/L: normal range 138–145) | 140 | 137 |  | 133 |  |  | 135 | 139 | 136 | |
Chloride (mmol/L: normal range 101–108) | 109 | 107 |  | 103 |  |  | 103 | 107 | 106 | |
Potassium (mmol/L: normal range 3.6–4.8) | 4.1 | 3.9 |  | 3.6 |  |  | 4.2 | 3.8 | 4.0 | |
Glucose (mg/dl: normal range 73–109) | 250 | 121 |  | 130 |  |  | 196 | 108 | 134 | |
Creatinine (mg/dl: normal range 0.7–1.1) | 0.74 | 0.68 |  | 0.59 |  |  | 3.43 | 1.23 | 0.85 | |
Blood urea nitrogen (mg/dl: normal range 8–20) | 48.1 | 16.1 |  | 6.9 |  |  | 40.4 | 29.7 | 13.2 | |
Creatine phosphokinase (IU/L: normal range 59–248) | 56 | 27 |  | 34 |  |  | 1211 | 425 | 130 | |
Blood count | White blood cells (per μl: normal range 3300–8600) | 7300 | 6700 |  | 7700 |  |  | 17,900 | 15,100 | 8300 |
Hemoglobin (g/dl: normal range 13.7–16.8) | 7.5 | 8.9 |  | 10.4 |  |  | 9.5 | 9.4 | 9.2 | |
Platelet (× 104: normal range 15.8–34.8) | 6.0 | 6.4 |  | 9.5 |  |  | 29.7 | 30.0 | 28.4 | |
Urine specific gravity (normal range 1.0–1.03) |  |  |  |  |  |  |  | 1.03 |  |