List each lab value that suggests a nutritional deficiency. ...

[bobbie]

List each lab value that suggests a nutritional deficiency. Identify the nutritional deficiency in each case and explain how the circumstances in Mr. D's history contributed to each deficiency.

Question 2

Calculate Mr. D's TLC

[kkenney]

Answer to Question 1

Hgb, Hct, MCV, and MCHC indicate possible protein/iron deficiency. Serum Alb and TLC indicate protein deficiency. All of the above could also indicate severe energy deficiency.

Cr is 0.9 mg/dL. A low Cr frequently indicates a lack of lean body mass. With severely decreased somatic protein, there is not enough muscle to produce a higher level of Cr. This is the case with Mr. D. The circumstances involved with this include: 1) Anorexia, probably due to lack of taste, depression, and excessive medicines. 2) Improperly fitting dentures. 3) Lack of a soft diet.

Answer to Question 2

Before hydration:
WBC = 4.3 x 103/mm3 Lymphocytes = 18
4.3 x 103 = 4300 x 18 = 774/mm3

After hydration:
WBC = 4.7 x 103 = 4700 x 19 = 893/mm3