Assess Mr. Walker's laboratory values at admission and on 6/7 . Explain any abnormal laboratory values
What will be an ideal response?
• Serum glucose (high): due to increased rates of gluconeogenesis and glycogenolysis from the elevated levels of cortisol and catecholamines due to injury
• Lactate (high): due to increased anaerobic metabolism resulting from poor tissue perfusion or oxygen delivery to tissues
• Phosphate/magnesium (slightly low): may be due to overhydration/fluid accumulation due to injury
• ALT (high): elevated due to TBI trauma potentially causing hypoperfusion to hepatic tissue and thus causing some damage
• CPK (high): elevated due to tissue damage and trauma
• CRP (high): elevated because it is an acute phase protein and trauma/inflammation is present.
• WBC, %Neutrophil, %Monocyte (high): elevated due to increased inflammatory/immune response
• RBC, Hgb, Hct (low): due to blood loss and hemorrhagic edema in brain
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