Albumin Lab Values

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Jon Haws
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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:

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

Study Plan Lessons

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