Evaluate Mrs. Joaquin's chemistry report. What labs are altered due to her diagnosis of Stage 5 CKD?
What will be an ideal response?
• Sodium (low): Edema; decreased elimination of fluids (hemodilution)
• Potassium (high): Retaining K, decreased elimination
• PO4 (high): Retention and release of P from bone breakdown
• Total CO2 (high): Acidosis (from decreased ability to excrete H+)– increased oxidation of branched-chain amino acids, increased protein degradation and PNA, and decreased albumin synthesis
• Albumin (low): Edema malnutrition
• Protein (low): Edema, malnutrition
• BUN (high): Retention
• Creatinine (high): Retention
• Calcium (low): Decreased active vitamin D/edema
• RBC, Hgb, Hct (low): inadequate EPO production
• Protein, glucose, and ketones in the urine (high): damaged glomeruli (protein, glucose) and malnutrition (ketones)
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