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)
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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)