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Question about Hemoglobin and Hematocrit



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  #1  
Old Mar 31, 2007, 07:29 PM
Registered User
Join Date: Apr 2006
Question about Hemoglobin and Hematocrit

I can't for the life of me find the answer to the question,

How is H&H affected by the Genitourinary system?

Please Help my client a male has a low H&H and this is one of the questions my instructor wants me to know. (Hemoglobin=11.2, Hematocrit=34)

Thanks

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  #2  
Old Mar 31, 2007, 08:14 PM
Lisa CCU RN (Female)
Registered User
Join Date: Aug 2005
Re: Question about Hemoglobin and Hematocrit

Kidney's secrete erythopoeitin, the hormone responsible for the stimulation of RBC's.

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  #3  
Old Mar 31, 2007, 08:20 PM
Lisa CCU RN (Female)
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Join Date: Aug 2005
Re: Question about Hemoglobin and Hematocrit

http://users.rcn.com/jkimball.ma.ult...yHormones.html

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  #4  
Old Mar 31, 2007, 08:23 PM
Registered User
Join Date: Jan 2004
Re: Question about Hemoglobin and Hematocrit

Just adding: hypervolemia r/t decreased kidney function could be a cause as well...as the above pointed out.

What do the electrolytes look like? BUN, Creat, eGFR?


Last edited by november551 : Mar 31, 2007 at 08:26 PM.
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  #5  
Old Mar 31, 2007, 08:30 PM
Lisa CCU RN (Female)
Registered User
Join Date: Aug 2005
Re: Question about Hemoglobin and Hematocrit

Originally Posted by november551 View Post
Just adding: hypervolemia r/t decreased kidney function could be a cause as well...as the above pointed out.

What do the electrolytes look like? BUN, Creat, eGFR?
Yep, hemodilution.

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  #6  
Old Mar 31, 2007, 08:34 PM
Premium Member
Join Date: Oct 2001
Re: Question about Hemoglobin and Hematocrit

Is he suffering from hematuria?

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  #7  
Old Mar 31, 2007, 08:48 PM
ZASHAGALKA's Avatar
ZASHAGALKA (Male)
Who's John Galt
Join Date: May 2005
Re: Question about Hemoglobin and Hematocrit

Originally Posted by CRNASOMEDAY25 View Post
Yep, hemodilution.
One of my favorite words. It just OOZES that I know what I'm talking about, don't it.

It's kinda like saying, "pre-renal". Not in relation to each other. Just they're both 'cool' words to use.

The antonym for hemodilution, btw, is "dryer than a popcorn fart." Or so one of my co-workers maintains. Hope that's not too pg-13.

~faith,
Timothy.


Last edited by ZASHAGALKA : Mar 31, 2007 at 08:51 PM.
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  #8  
Old Mar 31, 2007, 10:14 PM
SMK1's Avatar
Senior Member
Join Date: Sep 2003
Re: Question about Hemoglobin and Hematocrit

Originally Posted by Joni's Mom View Post
I can't for the life of me find the answer to the question,

How is H&H affected by the Genitourinary system?

Please Help my client a male has a low H&H and this is one of the questions my instructor wants me to know. (Hemoglobin=11.2, Hematocrit=34)

Thanks
Dehydration can effect the hematocrit because of lessened fluid volume. The kidneys also manufacture Erythropoiten which stimulates the production of RBC's.


Last edited by SMK1 : Mar 31, 2007 at 10:16 PM. Reason: ...
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  #9  
Old Apr 01, 2007, 09:28 AM
Registered User
Join Date: Apr 2006
Re: Question about Hemoglobin and Hematocrit

How can I thank you?
You all opened my eyes, and there it was in print in my Med Surg book. Yep! RBC production is controlled by the kidneys. Erythropoietin stimulates bone marrow to produce RBCs and prolongs the life of existing RBCs.
Thank you, Thank you, Thank you

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