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ANCILLARY PROCEDURES Hgb RBC Hct MCV MCH MCHC RDW Platelet WBC Neutrophils Segmenters Bands Metamyelocytes Lymphocytes Monocytes Eosinophils Basophils Myelocytes 11/23/09 96 2.93 0.28 94.3 32.6 34.6 13.40 481 11/28/09 118 3.73 0.35 94.60 31.50 33.30 14.10 830 Unit g/L X10^12/L 17.70 0.75 0.74 0.01 X10^9/L 0.24 15.39 0.75 0.72 0.01 0.01 0.23 0.01 0.02 U^3 pg g/dL X10^9/L NV 120-170 4.0-6.0 0.37-0.54 87 + -5 29 + -2 34 + -2 11.6 – 14.6 150-450 4.5-10.0 0.50-0.70 0.50-0.70 0-0.05 0.20-0.40 0.00-0.07 0.00-0.05 Complete Blood Count • Anemia – Low RBC, Hgb, Hct – Due to insufficient production of EPO by the diseased kidneys (CKD stage 3) • Thrombocytosis – Occurs as an acute phase response to infection • Leukocytosis – With predominance of neutrophils connotes active bacterial infection Biochemical Blood Test SGPT-ALT SGOT-AST Creatinine Sodium Potassium 11/23/09 37.8 55.3 5.2 130 5.4 11/28/09 3.5 Unit U/L U/L mgl/dL mmol/L mmol/L N.V. 0-31 0-38 0.5-1.2 137-147 3.8 - 5 • AST/ ALT - Active liver insult probably drug induced (aspirin) • Creatinine - Impaired Filtering Capacity of the kidneys due to CKD • Sodium/Potassium - Most probably due to impaired kidney function ECG • Sinus rhythm • Left ventricular hypertrophy – pathological reaction to cardiovascular disease, or high blood pressure – increase afterload that the heart has to contract against – causes of increased afterload that can cause LVH include aortic stenosis, aortic insufficiency, and hypertension • Peak T-waves – Due to hyperkalemia Other lab exams Test Rationale for requesting Expected result iCa Decreased iPO Increased Asses for Kidney injury BUN Increased Uric acid Increased Lipid Profile Asses risk of Heart disease ABG determination of pH, partial pressure of carbon dioxide Metabolic and oxygen, and the bicarbonate level acidosis U/S of KUBP Assess the size, location, and shape of the kidneys and related structures, such as the ureters bladder, and prostate Sputum GS, culture Identify certain pathogens by their characteristic appearance Sputum AFB Screening for TB