Albumin Lab Values
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Outline
Overview
- Albumin
- Normal Value Range
- Pathophysiology
- Special Considerations
- Too High: Causes, Symptoms, Treatments
- Too Low: Causes, Symptoms, Treatments
Nursing Points
General
- Normal value range
- 3.5 – 6.0 g/dL
- Pathophysiology
- Produced in the liver
- Main protein of plasma
- Responsible for maintaining oncotic pressure
- Draws fluid into blood vessel
- “Protein pulls”
- Refer to Fluid & Electrolytes lesson 01.02 Fluid Pressures
- Transport protein
- Serves as amino acid
- Nutrition
- Poor indicator of nutrition
- Due to long half-life
- Pre-Albumin
- Better indicator of nutrition
- Poor indicator of nutrition
- Special considerations
- Green top typically
- Usually sent with several other labs
- Chemistries
- Liver function tests
- Nutritional labs
- Elevated Albumin levels
- Dehydration
- Excess infusion of albumin
- Decreased albumin levels
- Liver disease
- Fluid loss
- Fistula
- Hemorrhage
- Kidney Disease
- Burns
- Congestive heart failure
- Long term poor nutrition
- Inadequate intake
- Inflammation
Assessment
- Assess patient’s pre-albumin for nutritional status or indications of acute illness
Nursing Concepts
- Lab Values
- Nutrition
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- Depressive Disorders
- Personality Disorders
- Psychotic Disorders
- Bipolar Disorders
- Developmental Considerations
- Concepts of Mental Health
- Health & Stress
- Trauma-Stress Disorders
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Alcohol Withdrawal (Addiction)
Alcohol Withdrawal Case Study (45 min)
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Blood Urea Nitrogen (BUN) Lab Values
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Bulimia – Signs and Symptoms 2 Nursing Mnemonic (WASHED)
Buspirone (Buspar) Nursing Considerations
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Chlorpromazine (Thorazine) Nursing Considerations
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Depression Assessment Nursing Mnemonic (SIGNS)
Depression Concept Map
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Divalproex (Depakote) Nursing Considerations
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Encephalopathy Case Study (45 min)
Escitalopram (Lexapro) Nursing Considerations
Fluoxetine (Prozac) Nursing Considerations
Generalized Anxiety Disorder
Glomerular Filtration Rate (GFR)
Grief and Loss
Grief and Loss
Haloperidol (Haldol) Nursing Considerations
Handling Death and Dying
Head to Toe Nursing Assessment (Physical Exam)
Hypochondriasis (Hypochondriac)
Lamotrigine (Lamictal) Nursing Considerations
Lithium (Lithonate) Nursing Considerations
Lithium Lab Values
Liver Function Tests
Lorazepam (Ativan) Nursing Considerations
Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)
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MAOIs
Meds for Alzheimers
Mental Health Course Introduction
Metabolic Alkalosis
Methadone (Methadose) Nursing Considerations
Midazolam (Versed) Nursing Considerations
Mood Disorders (Bipolar)
Mood Stabilizers
Mood Stabilizers
Nurse-Patient Relationship
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Nursing Care Plan (NCP) for Alzheimer’s Disease
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Nursing Care Plan (NCP) for Depression
Nursing Care Plan (NCP) for Dissociative Disorders
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Nursing Care Plan (NCP) for Mood Disorders (Major Depressive Disorder, Bipolar Disorder)
Nursing Care Plan (NCP) for Paranoid Disorders
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Nursing Care Plan (NCP) for Post-Traumatic Stress Disorder (PTSD)
Nursing Care Plan (NCP) for Schizophrenia
Nursing Care Plan (NCP) for Somatic Symptom Disorder (SSD)
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Oxycodone (OxyContin) Nursing Considerations
Paranoid Disorders
Paroxetine (Paxil) Nursing Considerations
Personality Disorders
Phases of Nurse-Client Relationship
Phosphorus-Phos
Post-Traumatic Stress Disorder (PTSD)
Postmortem Care
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Somatoform Disorder Case Study (30 min)
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SSRIs
Suicidal Behavior
TCAs
Therapeutic Communication
Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)
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Urinalysis (UA)
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