Physical assessment of nails; brittle, thin, spoon-shaped - ANS-iron or protein
deficiency
Serum albumin lab value and indications - ANS-a. 3.5-5.0g/dl
b. hypoalbuminemia associated with edema
c. levels above normal 2/2 dehydration
d. not a good indicator for PEM
Serum transferin lab value and indications - ANS-a. >200mg/dl
b. controlled by iron storage, raises with iron deficiency
c. decreased with protein-energy deficiency
TTHY transthyretin, PAB pre albumin lab value and indications - ANS-a. 16-40mg/dl
b. quickly assess changes in protein
c. influenced by iron status, trauma, infection
Rentinol-binding protein (RBP) lab value and indications - ANS-a. 3-6mg/dl
b. circulates with preablumin
c. binds and transports retinol (vitamin A)
Hematocrit (Hct) lab value and indications - ANS-1. Men 44% women 38%, pregnant
women 33%
b. volume of packed cells in whole blood
Hemoglobin (Hb) lab value and indications - ANS-a. men 14-17gm/dl, women
12-15gm/dl, pregnant women <11
b. iron-containing pigment of red blood cells
c. low levels indicate generalized anemia
Serum ferritin lab value and indications - ANS-a. males 12-300ng/ml, female
10-150ng/ml
b. indicates size of iron storage pool
Serum creatinine lab value and indications - ANS-a. 0.6-1.4mg/dl
b. related to muscle mass; measure somatic protein
c. may indicate renal disease, or muscle wasting
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