Nursing Students General Students
Published Oct 20, 2005
Nursetob2005
67 Posts
Help! I need help with my pt's lab for a care plan. He has had a low H&H, low RBC Count. He is not anemic according to Dr. Diagnosis. He is on Lovenox, but I got dinged before when I put that as a reason. What else could be causing this?
klone, MSN, RN
14,797 Posts
GI bleed?
Peptic ulcer?
Crohn's Disease?
Diverticulitis?
MIA-RN1, RN
1,329 Posts
How are his platelets and whites? Does he have increased blood volume from something, to make it look like he is anemic when he really isn't?
NurseyBaby'05, BSN, RN
1,110 Posts
Do they suspect CA? Has he had any recent major surgery?
truern
2,016 Posts
Nurse2be, here's a great online resource for labs:
http://labtestsonline.org/
I'm thinking along the lines of some fluid volume overload that's diluting the blood, too. You know like when someone's dehydrated and it looks like their H/H is elevated when it's really not??
Why is he on Lovenox?? What IS his diagnosis??
Nurse2be, here's a great online resource for labs:http://labtestsonline.org/I'm thinking along the lines of some fluid volume overload that's diluting the blood, too. You know like when someone's dehydrated and it looks like their H/H is elevated when it's really not??Why is he on Lovenox?? What IS his diagnosis??
Good idea - do you know his urine specific gravity?
onduty23
410 Posts
thanks very helpful site
ICRN2008, BSN, RN
897 Posts
If a patient has a low red cell count, he or she has anemia. The physician might have meant that the patient does not have iron deficiency anemia, the most common type?
Do you know the mcv, mch and mchc?
What are his WBC and plt? Could he have bone marrow suppression due to steroids or other drugs?
jschut, BSN, RN
2,743 Posts
Looks like everyone has covered bases here...just wanted to tell you that the site is cool..I bookmarked it for future reference...