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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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4th Semester

Concepts Covered:

Study Plan Lessons

Fluid Volume Overload

Fluid Volume Deficit

Nursing Care and Pathophysiology for Sepsis

Nursing Care and Pathophysiology for SIRS & MODS

Nursing Care and Pathophysiology for Compartment Syndrome

Nursing Care and Pathophysiology for Rhabdomyolysis

Discharge (DC) Teaching After Surgery

Informed Consent

Performing Cardiac (Heart) Monitoring

Nephrotic Syndrome

Congenital Heart Defects (CHD)

EKG (ECG) Waveforms

The EKG (ECG) Graph

Electrical A&P of the Heart

Electrolytes Involved in Cardiac (Heart) Conduction

Breathing Movements

Breathing Control

Respiratory Functions of Blood

Liver & Gallbladder

Respiratory Structure & Function

Electrical Activity in the Heart

Cardiac (Heart) Physiology

Nutrition (Diet) in Disease

Spinal Precautions & Log Rolling

Neuro Assessment

Ischemic (CVA) Stroke Labs

Renal (Kidney) Failure Labs

Dysrhythmias Labs

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

Albumin Lab Values

White Blood Cell (WBC) Lab Values

Hematocrit (Hct) Lab Values

Hemoglobin (Hbg) Lab Values

Red Blood Cell (RBC) Lab Values

Urinary Elimination

Documentation Pro Tips

Admissions, Discharges, and Transfers

Legal Considerations

Levels of Prevention

Nursing Care Delivery Models

Advance Directives

What Guides Nurses Practice

Fluid Compartments

Fluid Shifts (Ascites) (Pleural Effusion)

Phosphorus-Phos

ABGs Nursing Normal Lab Values

ABG (Arterial Blood Gas) Interpretation-The Basics

ROME – ABG (Arterial Blood Gas) Interpretation

Respiratory Acidosis (interpretation and nursing interventions)

Respiratory Alkalosis

Metabolic Acidosis (interpretation and nursing diagnosis)

Metabolic Alkalosis

Base Excess & Deficit

Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)

Nursing Care and Pathophysiology for Pancreatitis

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

Chronic Renal (Kidney) Module Intro

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

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)

Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)

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

Blunt Chest Trauma

Nursing Care and Pathophysiology for Pneumothorax & Hemothorax

Brain Death v. Comatose

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)

Seizures Module Intro

Spinal Cord Injury

Preload and Afterload

Nursing Care and Pathophysiology of Angina

Heart (Cardiac) Failure Module Intro

Nursing Care and Pathophysiology for Heart Failure (CHF)

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)

Legal Aspects of Documentation

Cerebral Palsy (CP)

Spina Bifida – Neural Tube Defect (NTD)

Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)