Laboratory Assessment of Nutritional Status: Bridging Theory & Practice. MARY LITCHFORD

Laboratory Assessment of Nutritional Status: Bridging Theory & Practice - MARY LITCHFORD


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Count > 2% < 0.5% < 0.5% < 0.5% ESR elevated elevated elevated elevated Ferritin Females <10 ng/mL >150 ng/mL >150 ng/mL WNL or elevated Ferritin Males <12 ng/mL >300 ng/mL >300 ng/mL WNL or elevated Serum B12 normal decreased decreased WNL Folate - <5 ng/mL >25 ng/mL WNL or decreased Hcy - increased increased WNL MMA - WNL increased -

      KEY:

      HGB=hemoglobin, HCT=hematocrit, MCV=mean corpuscular volume, MCH= mean corpuscular hemoglobin, TIBC=total iron binding capacity, Retic count= reticulocyte count, ESR= erythrocyte sedimentation rate, Hcy=homocysteine, MMA= methylmalonic acid

      Review Questions for Critical Thinking

      1.What do laboratory tests tell the healthcare practitioner about the patient’s health status?

      2.What questions should the health practitioner ask himself/herself before requesting laboratory tests?

      3.Why might there be a difference in the reference standards used in this text and the standards used in a healthcare institution?

      4.Describe how the hydration status of a patient impacts the interpretation of the lab results. Include dehydration and overhydration.

      5.Identify the key labs used to diagnose dehydration and overhydration.

      6.Describe the relationship between inflammatory response and acute phase proteins.

      7.Identify the ranges in all four types of anemias. Explain how to differentiate between the different nutritional anemias.

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