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BUN is blood urea nitrogen. Urea is produced when protein is broken down. With low protein and albumin levels, I assume that the BUN would be elevated. I just can't figure out why, unless it's related to his surgery and wound healing. It's the only explanation I could think of, but my Davis lab guide doesn't really give a lot of details beyond renal impairment and dehydration.

hi guys. i am working on a care plan, and i have some wonky lab values, and i'm not sure if i've gotten proper interpretations. a little background: the client is a >70 male presenting with diverticulitis. he is now 8 days post-op for three attempted anastomoses (two were not airtight and the third was sucessful) and a temp ileostomy. full liquid diet. vs were normal, but he did have an elevated temp (ranged from 99.8 - 100.3). came in to the hospital with an elevated wbc (+/- 13k). on two antibiotics. also getting peri-cal @ 75 ml/hr. here are the wonky labs: and the ones i am having issues with are the protein/albumin and bun. no s/sx of dehydration, medical hx does not show any renal impairment or chf, and i am stumped as to why the bun is elevated and the protein is decreased. i thought perhaps it was the iv tpn, but having looked at the nutrients included in the solution, it supposedly contains "enough" protein. not looking for a handout, but some guidance would be most appreciated. thanks so much for any help you may be able to provide. rbc 3.53 (l) likely postop anemia, due to a diminished erythropoietic response wbc 15.5 (h) elevated wbc indicative of an infection. hct 32.4 (l) likely postop anemia, due to a diminished erythropoietic response hgb 13.5 (l) 10.7 (l) likely postop anemia, due to a diminished erythropoietic response bun 24 (h) total protein 5.9 (l) albumin 1.9 (l)

I am currently in the process of finalizing my application to NW. Unfortunately, I will have to take A&P I and II this summer if I am accepted in the program. I have until August to complete these, so it should be no problem. This is my first attempt at applying, and I am fairly confident. This is my 3rd degree. I have a BS and an MBA, so "this ain't my first rodeo." At this point, I'm making the career change for the hours and flexibility afforded by the nursing profession. It's hard work, stressful, and in the opinion of many people, undervalued. However, I can tell you from experience that working 12 hours a day, six days a week with 235 employees is no easier. My undergrad GPA was abysmal, at 2.93. However, I scored a 29 on the ACT and 97.5% Verbal and 97.8% Math on the TEAS, so I think it should compensate for the fact that my GPA is a bit lacking. If I am accepted or not, I will post it here. Good luck to all.