I am currently doing a case study on a surgical patient having a hysterectomy. She has been diagnosed with menorrhagia (heavy and painful menstrual periods), and dysmenorrhea. U/S shows a fibroid uterus. She is having an abdominal hysterectomy leaving her ovaries in tact.
I have been trying to figure out the lab results with this patient. My text book says that normal Hgb ranges are 12-15 g/dL... this patient has a hgb of 84... I have looked everywhere and all i can think of, is that this patient has been losing a lot of blood during her menstrual period. (they had her on ferrous sulphate for her anemia, but continues to bleed). Due to the decreased blood content, I would suspect that the hgb levels would be low?.. not high?
I am confused... and I have no idea how to interpret this information.
I started thinking about dehydration.. i see there is a question about why they would initiate lactated ringers.. which makes me think of dehydration... if a pt was dehyrated could labs show hgb as a false high perhaps?
Sarah010101
277 Posts
Hello,
I am currently doing a case study on a surgical patient having a hysterectomy. She has been diagnosed with menorrhagia (heavy and painful menstrual periods), and dysmenorrhea. U/S shows a fibroid uterus. She is having an abdominal hysterectomy leaving her ovaries in tact.
I have been trying to figure out the lab results with this patient. My text book says that normal Hgb ranges are 12-15 g/dL... this patient has a hgb of 84... I have looked everywhere and all i can think of, is that this patient has been losing a lot of blood during her menstrual period. (they had her on ferrous sulphate for her anemia, but continues to bleed). Due to the decreased blood content, I would suspect that the hgb levels would be low?.. not high?
I am confused... and I have no idea how to interpret this information.
All responses are welcome! :)