Albumin Lab Values

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Jon Haws
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Study Tools For Albumin Lab Values

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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

Concepts Covered:

  • Immunological Disorders
  • Urinary Disorders
  • Hematologic Disorders
  • Disorders of the Thyroid & Parathyroid Glands
  • Pregnancy Risks
  • Proteins
  • Terminology
  • Statistics
  • Shock
  • Disorders of Pancreas
  • Renal Disorders
  • Newborn Care
  • Oncology Disorders
  • Disorders of the Adrenal Gland
  • Cardiac Disorders
  • Fetal Development
  • Bipolar Disorders
  • Substance Abuse Disorders
  • Liver & Gallbladder Disorders
  • Emergency Care of the Neurological Patient
  • Neurological Emergencies
  • Respiratory Disorders
  • Noninfectious Respiratory Disorder
  • Infectious Respiratory Disorder
  • Central Nervous System Disorders – Brain
  • Basics of Sociology
  • Circulatory System

Study Plan Lessons

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