I can't seem to link my pt.'s labs together with her condition. Pt. dx with pelvic abscess. e.coli present in abscess. WBC elevated: I know because of the infection WBC increased to fight off the infection. As for RBC, Hgb, HcT low: pt. not dx anemia, sats are good at 97 consecutively. No signs of hemorrhage, no mentions of internal bleeding by anyone or on chart. I'm lost. I don't know why she has low labs. I understand it means oxygen is not being carried to places or there are not enough blood cells to carry them, but pt. has no s/s of anything oxygen related wrong. She's on no oxygen (nasal cannula, etc.) either.
I'm a nursing student working on my careplan. :s
Thanks in advance!
Jun 22, '12
by Esme12, ASN, BSN, RN Senior Moderator
Pt may just be anemic all the time and is undiagnosed. The seeming drop is because she is now hydrated. Patients can develop ulcers/GI bleeds due to stress. Where would you look for occult blood in the GI system?
What other meds is she on? What other comorbidities are there? What meds does she take? What surgical procedure was done to place the JP? What is he baseline/trending labs? How old is this person? Does she menstruate?
While the blood have the products that carry oxygen to the cells a drop in O2 doesn't cause a low Hct/HgB/RBC but...... a severe lack of Hct/HgB/RBCs will cause a lack of O2. The drainage of copious amounts of purulent fluid from the abdominal cavity has no effect on oxygenation unless it is blood that is drained due to hemorrhage. It would be the loss of blood causing a loss of HgB (the oxygen carrying blood product) that would cause a loss of O2 carrying capacity to the cells even if there is enough O2 to breath.....it doesn't have a ride to get there.
Last edit by Esme12 on Jun 22, '12