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Have intracerebral hemmorhage. Low lab values. Reason?

Hello. I am a student nurse and I working on my nursing care plan. I have to give a rationale for lab values abnormals. Well, I have a patient that is diagnose with an intracerebral hemorrhage. His has low lab values in: RBC 3.33, Hct 33.6, and Hgb 10.9. Also my patient has a high Cl- 112. I need help coming up with rationales for these abnormals. I figured that the RBC, Hct, and Hgb is low because of the cerebral hemorrhage resulting in bleeding in and around the brain.
Asked On : Fri, 19 Apr 2013
Answers:  1 Views:  42
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General Surgeon 's  Response
Apr 2013
Hi and welcome to HCM.
First, chlorine level is slightly elevated, this is negligible.
Secondly, I am not sure about your explanation of low RBC an Hgb. intracerebral hemorrhae is serious because it affects brain which is very sensitive to any kind of bleeding., but Hgb fall must be caused by much intense bleeding or by chronic anaemia. If these are values which you noticed now and his blood picture was normal before then intraadbominal bleeding should be considered. This isnt serious anaemia, but if on repeated tests after 1-2 days you find progreession of hgb fall till 80 then this can be something worrying.Wish you good health.
Answered: Fri, 19 Apr 2013
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