Review Mrs. Washington's labs upon admission. Identify any that are abnormal. For each abnormal value, explain the reason for the abnormality and describe the clinical significance and nutritional implications for Mrs. Washington
What will be an ideal response?
Each of the following abnormal labs results from her hyperlipidemia, is consistent with cardiac risk, and requires nutrition therapy:
• Cholesterol (ref. < 200 mg/dL, pt 210 mg/dL)
• HDL (ref. > 59 mg/dL, pt 40 mg/dL)
• LDL/HDL ratio (ref. <3.22, pt 3.8)
• LDL (ref <130 mg/dL, pt 155 mg/dL)
• Triglycerides (ref. 35-135 mg/dL, pt 198 mg/dL)
Additionally, her GFR is 56 mL/min (ref. > 60 mL/min) and her serum creatinine is 1.2 mg/dL. These may be indicative of renal insufficiency associated with her history of hypertension.
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