What laboratory values or other tests support Mrs. Caldwell's diagnosis of chronic kidney disease? List all abnormal values and explain the likely cause for each abnormal value
What will be an ideal response?
• Sodium (low): Edema; hemodilution
• PO4 (high): Retention and release of P from bone breakdown
• GFR (low): Reflection of decreasing renal function
• PT/INR (high): Reflection of anticoagulants given for dialysis
• BUN (high): Retention
• Creatinine (high): Retention
• Calcium (low): Decreased active vitamin D/edema
• Anion gap (low): Acidosis and/or electrolyte imbalance
• Total protein, albumin (low): Value most likely skewed by edema
• Hemoglobin, hematocrit, MCV, MCH, MCHC, RBC (low): anemia secondary to renal failure/decreased erythropoietin
• Transferrin (low): decreased due to nephropathy
• Ferritin (low): Edema/hemodilution
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