Nutrition Assessment - Biochemical Data 10. Is Mr. Garcia at risk for metabolic syndrome? What is metabolic syndrome? Does he have any laboratory values that support this diagnosis? 11. Examine the laboratory results for Mr. Garcia. Which labs are consistent with the MI diagnosis? Explain. Why are the levels higher on 12/2? 12. List the abnormal values that are found in his lipid profile. What are the long-term implications? What are the possible treatment options for these abnormalities?
Nutrition Assessment - Biochemical Data 10. Is Mr. Garcia at risk for metabolic syndrome? What is metabolic syndrome? Does he have any laboratory values that support this diagnosis? 11. Examine the laboratory results for Mr. Garcia. Which labs are consistent with the MI diagnosis? Explain. Why are the levels higher on 12/2? 12. List the abnormal values that are found in his lipid profile. What are the long-term implications? What are the possible treatment options for these abnormalities?
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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Transcribed Image Text:Nutrition Assessment - Biochemical Data
10. Is Mr. Garcia at risk for metabolic syndrome? What
is metabolic syndrome? Does he have any laboratory
values that support this diagnosis?
11. Examine the laboratory results for Mr. Garcia. Which
labs are consistent with the MI diagnosis? Explain.
Why are the levels higher on 12/2?
12. List the abnormal values that are found in his lipid
profile. What are the long-term implications? What
are the possible treatment options for these
abnormalities?
Transcribed Image Text:Ref. Range
12/1 1957
12/2 0630
Nutrition:
Diet order: no added salt/low saturated fat; low cholesterol
History: Appetite good. He and his wife have been trying to change some things in his diet. Wife
indicates that she has been using "corn oil" instead of butter and has tried not to fry foods as often.
Typical dietary intake:
Breakfast:
Midmorning snack:
Lunch:
Dinner:
Snack:
Coffee with milk and sugar
Egg and cheese on English muffin from work cafeteria; 8 oz. orange juice,
2-3 c coffee with milk and sugar
Leftovers from home; if eats in cafeteria: soup, salad, or sandwich.
Had tomato soup and grilled cheese yesterday.
Rice-1 c; black beans-1 c; roast pork with tomato and peppers-
approx. 6 oz; cornbread-2 squares, each 2" wide
Typically has chips or popcorn and 1-2 beers
Food allergies/intolerances/aversions: None
Previous nutrition therapy? No
Food purchase/preparation: Spouse
Vit/min intake: None
Laboratory Results
Chemistry
Garcia, José, Male, 61 y.o.
Allergies: NKA
Pt. Location: RM 704
Laboratory Results (Continued)
Code: FULL
Physician: RJ Warren
Isolation: None
Admit Date: 12/1
Magnesium (mg/dL)
Calcium (mg/dL)
Ref. Range
1.5-2.4
12/1 1957
12/2 0630
12/3 0645
2.0
2.3
2.0
8.6-10.2
9.4
9.4
9.4
Osmolality (mmol/kg/H,O)
275-295
292
290
291
Bilirubin total (mg/dL)
≤1.2
0.8
0.76
0.81
Bilirubin, direct (mg/dL)
<0.3
0.10
0.11
0.14
Protein, total (g/dL)
6-7.8
6.0
5.9 ↓
6.1
Albumin (g/dL)
3.5-5.5
4.2
4.3
4.2
Prealbumin (mg/dL)
18-35
30
32
31
Ammonia (pg/L)
6-47
26
22
25
Alkaline phosphatase (U/L)
30-120
75
70
68
ALT (U/L)
4-36
30
215 1
185 1
AST (U/L)
0-35
25
245 11
175 ↑
CPK (U/L)
30-135 F
75
500 11
335 11
55-170 M
12/3 0645
CPK-MB (U/L)
0
0
75 11
55 11
Lactate dehydrogenase (U/L)
208-378
325
685 1
365
Sodium (mEq/L)
136-145
141
142
138
Troponin I (ng/dL)
<0.2
2.4
1
2.8 11
3.1 1
Potassium (mEq/L)
3.5-5.1
4.2
4.1
3.9
Troponin T (ng/dL)
<0.03
2.1 1
2.7 It
3.2 1
Chloride (mEq/L)
98-107
103
102
100
Cholesterol (mg/dL)
<200
235 11
226 11
214 1
Carbon dioxide (mEq/L)
23-29
23
24
26
BUN (mg/dL)
HDL-C (mg/dL)
>50 F >40 M
30 11
32 1
33 11
6-20
14
15
16
Creatinine serum (mg/dL)
0.6-1.1 F
1.1
1.1
1.1
VLDL (mg/dL)
7-32
44 It
49 11
51 It
LDL (mg/dL)
0-99
160 It
150 1
141 1
0.9-1.3 M
BUN/Crea ratio
10.0-20.0
12.7
13.6
13.3
LDL/HDL ratio
<4.5
5.3 It
4.7 11
4.3
Uric acid (mg/dL)
2.8-8.8 F
5.1
5.7
6.1
Apo A (mg/dL)
80-175 F
721
80
98
75-160 M
4.0-9.0 M
Est GFR, non-Afr Amer
>60
68
68
68
Apo B (mg/dL)
45-120 F
50-125 M
115
110
105
(mL/min/1.73 m²)
Glucose (mg/dL)
70-99
Phosphate, inorganic (mg/dL)
2.2-4.6
136 It
3.1
106 1
3.2
104 t
3.0
Triglycerides (mg/dL)
<150
HbA1c (%)
<5.7
220 11
5.5
245 11
257 11
(Continued)
Garcia, José, Male, 61 y.o.
Allergies: NKA
Code: FULL
Pt. Location: RM 704
Physician: RJ Warren
Isolation: None
Admit Date: 12/1
Allergies: NKA
Pt. Location: RM 704
Code: FULL
Physician: RJ Warren
Isolation: None
Admit Date: 12/1
Laboratory Results (Continued)
Laboratory Results (Continued)
Ref. Range
12/1 1957
12/2 0630
12/3 0645
Ref. Range
12/1 1957
12/2 0630
12/3 0645
Hematology
WBC (x10³/mm³)
3.9-10.7
11.0 t
9.32
8.8
Ketones
Blood
Bilirubin
Neg
Trace It
Neg
Neg
Neg
Neg
Neg
Neg
Neg
Neg
Neg
Neg
RBC (x 10%/mm³)
4.2-5.4 F
4.7
4.75
4.68
Nitrites
Neg
Neg
Neg
Neg
4.5-6.2 M
Urobilinogen (EU/dL)
1.0
0
0
0
Hemoglobin (Hgb, g/dL)
12-16 F
15
14.8
14.4
Leukocyte esterase
Neg
Neg
Neg
Neg
14-17 M
Prot chk
Neg
Neg
Neg
Neg
Hematocrit (Hct, %)
37-47 F
45
45
44
WBCs (HPF)
0-5
0
°
°
41-51 M
RBCs (HPF)
0-2
1
0
0
Mean cell volume (μm³)
80-96
91
92
90
Bact
0
0
0
0
Mean cell Hgb (pg)
28-32
30
31
30
Mucus
0
0
0
0
Mean cell Hgb content (g/dL)
32-36
33
32
33
Crys
0
0
0
0
RBC distribution (%)
11.6-16.5
13.2
12.8
13.0
Casts (LPF)
0
0
0
0
Platelet count (x 10³/mm³)
150-350
320
295
280
Yeast
0
0
0
0
Hematology, Manual Diff
Neutrophil (%)
40-70
55
58
62
Lymphocyte (%)
22-44
22
23
35
Note: Values and units of measurement listed in these tables are derived from several resources.
Substantial variation exists in the ranges quoted as "normal" and these may vary depending on the
assay used by different laboratories.
Monocyte (%)
0-7
4
4
7
Eosinophil (%)
0-5
0
0
0
Basophil (%)
0-2
0
0
0
Blasts (%)
3-10
3
3
4
Segs (%)
0-60
45
47
52
Bands (%)
0-10
15 If
17 ↑
8
Urinalysis
Collection method
Color
catheter
pale
catheter
pale
yellow
yellow
catheter
pale
yellow
Appearance
clear
clear
clear
Specific gravity
1.001-1.035
1.020
1.015
1.018
PH
5-7
5.8
5.0
6
Protein (mg/dL)
Neg
+ I↑
Neg
Neg
Glucose (mg/dL)
Neg
Neg
Neg
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