It is now HD 15 and Adam is recovering well. He has been moved out of the ICU to the medical ward and is preparing for discharge home. His appetite and oral intake are improving. Based on his labs and symptom of fatigue, an iron supplement is ordered.
Biochemical Data (HD 15):
Hemoglobin 12.0 (13.5-17.5 g/dL) Hematocrit 34 (42-52%) Mean corpuscular volume 98 (80–100 fL) Red cell distribution width (RDW-SD) 50 (39-46 fL)
Clinical Data:
Medications: iron, protonix, lipitor, captopril Dietary Data: Diet Prescription: Regular
1. Describe the abnormalities in Adam's biochemical data.
2. What type of anemia or anemias might Adam have? What are his risk factors?
3. What additional biochemical measures would be required to make a more accurate assessment?
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