ancillary procedures. 11/23/0911/28/09 unitnv hgb 96118 g/l120-170 rbc 2.933.73 x10^12/l4.0-6.0 hct...
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ANCILLARY PROCEDURES
11/23/09 11/28/09 Unit NVHgb 96 118 g/L 120-170RBC 2.93 3.73 X10^12/L 4.0-6.0Hct 0.28 0.35 0.37-0.54MCV 94.3 94.60 U^3 87 + -5MCH 32.6 31.50 pg 29 + -2MCHC 34.6 33.30 g/dL 34 + -2RDW 13.40 14.10 11.6 – 14.6Platelet 481 830 X10^9/L 150-450WBC 17.70 15.39 X10^9/L 4.5-10.0Neutrophils 0.75 0.75 0.50-0.70 Segmenters 0.74 0.72 0.50-0.70 Bands 0.01 0.01 0-0.05Metamyelocytes 0.01Lymphocytes 0.24 0.23 0.20-0.40Monocytes 0.00-0.07Eosinophils 0.01 0.02 0.00-0.05BasophilsMyelocytes
Complete Blood Count• Anemia– Low RBC, Hgb, Hct– Due to insufficient production of EPO by the
diseased kidneys (CKD stage 3)
• Thrombocytosis– Occurs as an acute phase response to infection
• Leukocytosis– With predominance of neutrophils connotes
active bacterial infection
11/23/09 11/28/09 Unit N.V.SGPT-ALT 37.8 U/L 0-31SGOT-AST 55.3 U/L 0-38Creatinine 5.2 3.5 mgl/dL 0.5-1.2Sodium 130 mmol/L 137-147Potassium 5.4 mmol/L 3.8 - 5
• AST/ ALT - Active liver insult probably drug induced (aspirin)• Creatinine - Impaired Filtering Capacity of the kidneys due to
CKD• Sodium/Potassium - Most probably due to impaired kidney
function
Biochemical Blood Test
ECG
• Sinus rhythm• Left ventricular hypertrophy– pathological reaction to cardiovascular disease, or high
blood pressure– increase afterload that the heart has to contract against– causes of increased afterload that can cause LVH include
aortic stenosis, aortic insufficiency, and hypertension
• Peak T-waves– Due to hyperkalemia
Other lab examsTest Rationale for requesting Expected result
iCa
Asses for Kidney injury
Decreased
iPO Increased
BUN Increased
Uric acid Increased
Lipid Profile Asses risk of Heart disease
ABG determination of pH, partial pressure of carbon dioxide and oxygen, and the bicarbonate level
Metabolic acidosis
U/S of KUBP Assess the size, location, and shape of the kidneys and related structures, such as the ureters bladder, and prostate
Sputum GS, culture
Identify certain pathogens by their characteristic appearance
Sputum AFB Screening for TB