Albumin Lab Values

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Jon Haws
BS, BSN,RN,CCRN Alumnus
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Included In This Lesson

Study Tools For Albumin Lab Values

63 Must Know Lab Values (Cheatsheet)
63 Must Know Lab Values (Book)
Albumin Lab Value (Picmonic)

Outline

Overview

  1. Albumin
    1. Normal Value Range
    2. Pathophysiology
    3. Special Considerations
    4. Too High: Causes, Symptoms, Treatments
    5. Too Low: Causes, Symptoms, Treatments

Nursing Points

General

  1. Normal value range
    1. 3.5 – 6.0 g/dL
  2. Pathophysiology
    1. Produced in the liver
    2. Main protein of plasma
    3. Responsible for maintaining oncotic pressure
      1. Draws fluid into blood vessel
      2. “Protein pulls”
      3. Refer to Fluid & Electrolytes lesson  01.02 Fluid Pressures
    4. Transport protein
    5. Serves as amino acid
    6. Nutrition
      1. Poor indicator of nutrition
        1. Due to long half-life
      2. Pre-Albumin
        1. Better indicator of nutrition
  3. Special considerations
    1. Green top typically
    2. Usually sent with several other labs
      1. Chemistries
      2. Liver function tests
      3. Nutritional labs
  4. Elevated Albumin levels
    1. Dehydration
    2. Excess infusion of albumin
  5. Decreased albumin levels
    1. Liver disease
    2. Fluid loss
      1. Fistula
      2. Hemorrhage
      3. Kidney Disease
      4. Burns
    3. Congestive heart failure
    4. Long term poor nutrition
      1. Inadequate intake
    5. Inflammation

Assessment

  1. Assess patient’s pre-albumin for nutritional status or indications of acute illness

Nursing Concepts

  1. Lab Values
  2. Nutrition

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Lab Values

The Lab Values Course will help you understand how to interpret some of the most common and most important laboratory values you might see in your patients. We’ll break them down by body system and help you understand how the numbers you see in the chart relate to what’s actually happening to your patient. We’ll even walk you through how to draw blood in the right order and how to easily document lab values on your patient.

Course Lessons

Lab Values Course Introduction
Lab Values Course Introduction
Lab Basics
Lab Panels
Order of Lab Draws
Shorthand Lab Values
Cardiovascular Labs
Troponin I (cTNL) Lab Values
Brain Natriuretic Peptide (BNP) Lab Values
Cardiac (Heart) Enzymes
Hematology Labs
Red Blood Cell (RBC) Lab Values
Hemoglobin (Hbg) Lab Values
Hematocrit (Hct) Lab Values
White Blood Cell (WBC) Lab Values
Platelets (PLT) Lab Values
Coagulation Studies (PT, PTT, INR)
Cultures
Cyclic Citrullinated Peptide (CCP) Lab Values
Absolute Neutrophil Count (ANC) Lab Values
Mean Platelet Volume (MPV) Lab Values
Total Iron Binding Capacity (TIBC) Lab Values
Red Cell Distribution Width (RDW) Lab Values
Absolute Reticulocyte Count (ARC) Lab Values
Carboxyhemoglobin Lab Values
Methemoglobin (MHGB) Lab Values
Mean Corpuscular Volume (MCV) Lab Values
D-Dimer (DDI) Lab Values
Iron (Fe) Lab Values
Fibrin Degradation Products (FDP) Lab Values
Fibrinogen Lab Values
GI and Hepatic Labs
Albumin Lab Values
Cholesterol (Chol) Lab Values
Ammonia (NH3) Lab Values
Total Bilirubin (T. Billi) Lab Values
Liver Function Tests
Gamma Glutamyl Transferase (GGT) Lab Values
Alanine Aminotransferase (ALT) Lab Values
Alkaline Phosphatase (ALK PHOS) Lab Values
Lipase Lab Values
Prealbumin (PAB) Lab Values
Protein (PROT) Lab Values
Renal Labs
Blood Urea Nitrogen (BUN) Lab Values
Creatinine (Cr) Lab Values
Glomerular Filtration Rate (GFR)
Urinalysis (UA)
Protein in Urine Lab Values
Creatinine Clearance Lab Values
Endocrine Labs
Glucose Lab Values
Hemoglobin A1c (HbA1C)
Anion Gap
Free T4 (Thyroxine) Lab Values
Thyroid Stimulating Hormone (TSH) Lab Values
Cortisol Lab Vales
Glucagon Lab Values
Glucose Tolerance Test (GTT) Lab Values
Growth Hormone (GH) Lab Values
Triiodothyronine (T3) Lab Values
Thyroxine (T4) Lab Values
Metabolic Labs
Carbon Dioxide (Co2) Lab Values
Vitamin B12 Lab Values
Vitamin D Lab Values
Phosphorus (PO4) Blood Test Lab Values
Bicarbonate (HCO3) Lab Values
Lactate Dehydrogenase (LDH) Lab Values
Direct Bilirubin (Conjugated) Lab Values
Homocysteine (HCY) Lab Values
Beta Hydroxy (BHB) Lab Values
Ionized Calcium Lab Values
Myoglobin (MB) Lab Values
Immunology and Inflammatory Labs
Cyclic Citrullinated Peptide (CCP) Lab Values
Hepatitis B Virus (HBV) Lab Values
Creatine Phosphokinase (CPK) Lab Values
Erythrocyte Sedimentation Rate (ESR) Lab Values
C-Reactive Protein (CRP) Lab Values
Prostate Specific Antigen (PSA) Lab Values
Procalcitonin (PCT) Lab Values
Urine Culture and Sensitivity Lab Values
Antinuclear Antibody Lab Values
Perinatal Labs
Alpha-fetoprotein (AFP) Lab Values
Pharmacology Labs
Lithium Lab Values
Lab Values By Diagnosis
Pregnancy Labs
Pneumonia Labs
Dysrhythmias Labs
Sepsis Labs
Congestive Heart Failure (CHF) Labs
COPD (Chronic Obstructive Pulmonary Disease) Labs
Renal (Kidney) Failure Labs
Pediatric Bronchiolitis Labs
Ischemic (CVA) Stroke Labs