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Albumin Lab Values

Albumin Lab Values

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Outline

Overview

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

Normal value range
1. 3.5 – 6.0 g/dL
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
Special considerations
1. Green top typically
2. Usually sent with several other labs
  1. Chemistries
  2. Liver function tests
  3. Nutritional labs
Elevated Albumin levels
1. Dehydration
2. Excess infusion of albumin
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

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

Nursing Concepts

Lab Values
Nutrition

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Cardiac Disorders
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Study Plan Lessons

Troponin I (cTNL) Lab Values

Nursing Care and Pathophysiology for Cardiomyopathy

AVPU Mnemonic (The AVPU Scale)

EKG (ECG) Waveforms

The EKG (ECG) Graph

Electrical A&P of the Heart

Electrolytes Involved in Cardiac (Heart) Conduction

Nursing Care and Pathophysiology for Menopause

Enteral & Parenteral Nutrition (Diet, TPN)

Casting & Splinting

Meniere’s Disease

Nasal Disorders

Macular Degeneration

Chest Tube Management

Stoma Care (Colostomy bag)

NG Tube Med Administration (Nasogastric)

NG (Nasogastric)Tube Management

Inserting an NG (Nasogastric) Tube

Ischemic (CVA) Stroke Labs

Congestive Heart Failure (CHF) Labs

Dysrhythmias Labs

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

Cardiac (Heart) Enzymes

Immunizations (Vaccinations)

Pain and Nonpharmacological Comfort Measures

Fluid Pressures

Fluid Shifts (Ascites) (Pleural Effusion)

Isotonic Solutions (IV solutions)

Hypotonic Solutions (IV solutions)

Hypertonic Solutions (IV solutions)

Potassium-K (Hyperkalemia, Hypokalemia)

Sodium-Na (Hypernatremia, Hyponatremia)

Calcium-Ca (Hypercalcemia, Hypocalcemia)

Chloride-Cl (Hyperchloremia, Hypochloremia)

Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)

Phosphorus-Phos

ABGs Nursing Normal Lab Values

ABG (Arterial Blood Gas) Interpretation-The Basics

ROME – ABG (Arterial Blood Gas) Interpretation

ABGs Tic-Tac-Toe interpretation Method

Respiratory Acidosis (interpretation and nursing interventions)

Respiratory Alkalosis

Metabolic Acidosis (interpretation and nursing diagnosis)

Metabolic Alkalosis

ABG (Arterial Blood Gas) Oxygenation

Base Excess & Deficit

Nursing Care and Pathophysiology for Rheumatoid Arthritis (RA)

Nursing Care and Pathophysiology for Gout

Nursing Care and Pathophysiology of Osteoarthritis (OA)

Nursing Care and Pathophysiology of Osteoporosis

Pressure Ulcers/Pressure injuries (Braden scale)

Integumentary (Skin) Important Points

Nursing Care and Pathophysiology for Anemia

Nursing Care and Pathophysiology for Sickle Cell Anemia

Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)

Thrombocytopenia

Oncology Important Points

Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)

Nursing Care and Pathophysiology for Anaphylaxis

Nursing Care and Pathophysiology for Lyme Disease

Systemic Lupus Erythematosus (SLE)

Addisons Disease

Nursing Care and Pathophysiology for Cushings Syndrome

Nursing Care and Pathophysiology for Diabetes Insipidus (DI)

Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)

Nursing Care and Pathophysiology for Hyperthyroidism

Nursing Care and Pathophysiology for Hypothyroidism

Nursing Care and Pathophysiology of Diabetes Mellitus (DM)

Diabetes Management

Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)

Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)

GERD (Gastroesophageal Reflux Disease)

Nursing Care and Pathophysiology for Pancreatitis

Nursing Care and Pathophysiology for Peptic Ulcer Disease (PUD)

Nursing Care and Pathophysiology for Diverticulosis – Diverticulitis

Nursing Care and Pathophysiology for Inflammatory Bowel Disease (IBD)

Nursing Care and Pathophysiology for Ulcerative Colitis(UC)

Nursing Care and Pathophysiology for Crohn’s Disease

Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)

Nursing Care and Pathophysiology of Glomerulonephritis

Nursing Care and Pathophysiology of Renal Calculi (Kidney Stones)

Nursing Care and Pathophysiology of Urinary Tract Infection (UTI)

Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)

Nursing Care and Pathophysiology of BPH (Benign Prostatic Hyperplasia)

Dialysis & Other Renal Points

Nursing Care and Pathophysiology for Cholecystitis

Nursing Care and Pathophysiology for Hepatitis (Liver Disease)

Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)

Alveoli & Atelectasis

Nursing Care and Pathophysiology for Asthma

Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)

Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)

Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)

Nursing Care and Pathophysiology for Influenza (Flu)

Nursing Care and Pathophysiology for Tuberculosis (TB)

Nursing Care and Pathophysiology of Pneumonia

Hierarchy of O2 Delivery

Artificial Airways

Airway Suctioning

Nursing Care and Pathophysiology for Pneumothorax & Hemothorax

Chest Tube Management

Levels of Consciousness (LOC)

Routine Neuro Assessments

Adjunct Neuro Assessments

Brain Death v. Comatose

Intracranial Pressure ICP

Cerebral Perfusion Pressure CPP

Nursing Care and Pathophysiology for Multiple Sclerosis (MS)

Nursing Care and Pathophysiology for Myasthenia Gravis

Nursing Care and Pathophysiology for Parkinsons

Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)

Nursing Care and Pathophysiology for Ischemic Stroke (CVA)

Stroke Assessment (CVA)

Stroke Therapeutic Management (CVA)

Stroke Nursing Care (CVA)

Seizure Causes (Epilepsy, Generalized)

Seizure Assessment

Seizure Therapeutic Management

Nursing Care and Pathophysiology for Seizure

Neurological Fractures

Spinal Cord Injury

Nursing Care and Pathophysiology for Meningitis

Cardiac Anatomy

Coronary Circulation

Heart (Cardiac) Sound Locations and Auscultation

Preload and Afterload

Nursing Care and Pathophysiology of Angina

Nursing Care and Pathophysiology of Myocardial Infarction (MI)

MI Surgical Intervention

Nursing Care and Pathophysiology for Heart Failure (CHF)

Heart (Cardiac) Failure Therapeutic Management

Nursing Care and Pathophysiology of Hypertension (HTN)

Nursing Care and Pathophysiology for Valve Disorders

Nursing Care and Pathophysiology of Endocarditis and Pericarditis

Nursing Care and Pathophysiology for Arterial Disorders

Nursing Care and Pathophysiology for Aortic Aneurysm

Nursing Care and Pathophysiology for Thrombophlebitis (clot)

Nursing Care and Pathophysiology for Hypovolemic Shock

Nursing Care and Pathophysiology for Cardiogenic Shock

Nursing Care and Pathophysiology for Distributive Shock

Normal Sinus Rhythm

Sinus Bradycardia

Sinus Tachycardia

Atrial Fibrillation (A Fib)

Premature Atrial Contraction (PAC)

Supraventricular Tachycardia (SVT)

Premature Ventricular Contraction (PVC)

Ventricular Tachycardia (V-tach)

Ventricular Fibrillation (V Fib)

1st Degree AV Heart Block

2nd Degree AV Heart Block Type 1 (Mobitz I, Wenckebach)

2nd Degree AV Heart Block Type 2 (Mobitz II)

3rd Degree AV Heart Block (Complete Heart Block)

Cognitive Impairment Disorders

COPD (Chronic Obstructive Pulmonary Disease) Labs