Need a little help interpreting lab values

[yinit9278]

Hi guys I could really use some help, these lab value interpretations are driving me crazy!!!

So I had a patient last week that I'm doing a soap write up on. He had sustained burns from an unknown caustic substance on a large portion of his face and head and in several areas on his upper right side. He has undergone several ftsg procedures. I am trying to interpret his lab values and am running into a bit of a snag here. His WBC is high overall with high neutrophils, but he has low lymphocytes and monocytes any idea for why that is? I know that high neutrophils are indicative of bacterial infection and that lymphocytes and monocytes are elevated if there is a viral infection, but what I don't get is why they are abnormally low lymph (7%) mono (2%)? Also his RBC count is low @ 2.5 as is his HGB (7.7) and HCT (23) while his platelets are high (456). I know that the rbc, hgb & hct indicate that he has anemia, but why would the platelets be high? Anybody have any suggestions for these discrepancies?

Thanks!!!!!! Any help will be very appreciated

[Vershonda]

Monocytes and lymphocytes are part of the bodies response to fighting off infection.

Low RBC are also associated with the bodies response to infection not just anemia.

A low hemoglobin may be influenced by the patient medication. Certain antibodics can cause low hemoglobin

Hematocrit may be low due to the nutritional state of the patient. Remember the patient loses certain nutrients i.e. proteins and vitamins

Platelet count may be high because of the coagulation factors being affected by the burns.