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Understanding My Renal Patients Lab Values

Objectives. Discuss lab values related to anemia management >Interpret CBC results, including H/H, RDW (red cell distribution width), MCV (mean corpuscular volume) and MCHC (mean corpuscular hemoglobin concentration) >Examine iron study results, focusing on iron s

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Understanding My Renal Patients Lab Values

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    1. Understanding My Renal Patients’ Lab Values Connie Gilet, ANP UNC Kidney Center/ UNC Healthcare September 2011

    2. Objectives Discuss lab values related to anemia management >Interpret CBC results, including H/H, RDW (red cell distribution width), MCV (mean corpuscular volume) and MCHC (mean corpuscular hemoglobin concentration) >Examine iron study results, focusing on iron saturation and ferritin

    3. Objectives Discuss the complex relationship between calcium, phosphorus, vitamin D and PTH >Review bone and mineral pathophysiology >Discuss why interventions involve thinking about all four of the above lab values >Outline when lab values are “only” abnormal vs when they are alarming >Discuss treatment of bone and mineral abnormalities with medications and surgery

    4. Objectives Discuss how dialysis adequacy is determined and used in a clinical setting >Discuss URR, Kt/V and PET, how to calculate these measures and how to interpret the results >Discuss the advantages and disadvantages of URR (Urea Reduction Ratio) vs Kt/V >Examine when, why and how the dialysis prescription should be adjusted

    5. Plan Briefly present basic information for each topic Hopefully, present new information for each topic Case studies will help to enhance understanding of information presented

    6. Anemia Anemia is defined as a decrease in red blood cells (RBC’s)

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