Which of the following lab values correlate to the fact that the client has developed a lytic drug reaction and is having an antibody response that lyses the drug-coated cell? Select all that apply
A) CD4 T-cell count of 500 cells
B) Low hemoglobin of 9.1
C) WBC level of 5000
D) Low platelet level of 10,000
E) Elevated liver enzyme levels
Ans: B, D
Feedback:
Lytic drug reactions can produce transient anemia (low RBCs and hemoglobin), leukopenia, or thrombocytopenia (low platelet levels), which often are corrected by the removal of the offending drug. A WBC of 5000 is normal. Changes in CD4 T cell counts relate to HIV infection. Liver enzymes do not rise because of a drug reaction.
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