ANCILLARY PROCEDURES

11/23/09 11/28/09 Unit NVHgb 96 118 g/L 120-170RBC 2.93 3.73 X10^12/L 4.0-6.0Hct 0.28 0.35 0.37-0.54MCV 94.3 94.60 U^3 87 + -5MCH 32.6 31.50 pg 29 + -2MCHC 34.6 33.30 g/dL 34 + -2RDW 13.40 14.10 11.6 – 14.6Platelet 481 830 X10^9/L 150-450WBC 17.70 15.39 X10^9/L 4.5-10.0Neutrophils 0.75 0.75 0.50-0.70 Segmenters 0.74 0.72 0.50-0.70 Bands 0.01 0.01 0-0.05Metamyelocytes 0.01Lymphocytes 0.24 0.23 0.20-0.40Monocytes 0.00-0.07Eosinophils 0.01 0.02 0.00-0.05BasophilsMyelocytes

Complete Blood Count• Anemia– Low RBC, Hgb, Hct– Due to insufficient production of EPO by the

diseased kidneys (CKD stage 3)

• Thrombocytosis– Occurs as an acute phase response to infection

• Leukocytosis– With predominance of neutrophils connotes

active bacterial infection

11/23/09 11/28/09 Unit N.V.SGPT-ALT 37.8 U/L 0-31SGOT-AST 55.3 U/L 0-38Creatinine 5.2 3.5 mgl/dL 0.5-1.2Sodium 130 mmol/L 137-147Potassium 5.4 mmol/L 3.8 - 5

• AST/ ALT - Active liver insult probably drug induced (aspirin)• Creatinine - Impaired Filtering Capacity of the kidneys due to

CKD• Sodium/Potassium - Most probably due to impaired kidney

function

Biochemical Blood Test

ECG

• Sinus rhythm• Left ventricular hypertrophy– pathological reaction to cardiovascular disease, or high

blood pressure– increase afterload that the heart has to contract against– causes of increased afterload that can cause LVH include

aortic stenosis, aortic insufficiency, and hypertension

• Peak T-waves– Due to hyperkalemia

Other lab examsTest Rationale for requesting Expected result

iCa

Asses for Kidney injury

Decreased

iPO Increased

BUN Increased

Uric acid Increased

Lipid Profile Asses risk of Heart disease

ABG determination of pH, partial pressure of carbon dioxide and oxygen, and the bicarbonate level

Metabolic acidosis

U/S of KUBP Assess the size, location, and shape of the kidneys and related structures, such as the ureters bladder, and prostate

Sputum GS, culture

Identify certain pathogens by their characteristic appearance

Sputum AFB Screening for TB