Phlebotomy! No other information is given other than what\'s on the paper. CASE

Question

Phlebotomy! No other information is given other than what's on the paper.

CASE STUDIES These unacceptable specimen collections. These will be the focus of discussions that are aimed at identifying the specimen problems, possible causes, impact on testing and corrective action. Complete this assignment and be prepared discuss each of these aspects in class March 5.2008.prior to the exam. Case 1. Chemistry dimeren from he results from Discovery: The chemistry panel for today is markedly yesterday as indicated by the table below: Yesterday's Result Today's Result 88 mg/dl 455 mg/ 19 mg/dl 8 mg/dl 1.1 mg/dl 0,3 mg/dl 139 mmol 116 mmolL Sodium 24 mmol 4.0 106 mmol 76 mmol L 26 mmol 12 mmol L Carbon Dioxide Suspected Problem: impact on testing: Corrective Action:

Explanation / Answer

Case 1: Chemistry

Suspected problem: Hyponatraemic (hypotonic) dehydration

Cause: Gastrointestinal( gastroenteristies) or Oropharyngeal (mouth ulcer) caused for lower intake of water.

Impact on testing: Potassium may be raised

Connective action : The treatment of mild-to-moderate dehydration does not require intravenous therapy as long as oral fluids are tolerated. Oral rehydration solutions such as Dioralyte® may be used.

Case 3: chemistry

Suspected problem: hyperkalemia.

Cause: kidney failure

Impact on testing: potassium level in blood is high.

Connective action: hemodialysis is your best treatment

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