Ameobiasis:

Complete Blood Count Result

Hct 60%, Hgb 11 mg/dL, RBC 5000/mm3,
WBC 14000/mm3. Serum potassium is at 3.4 mEq/L and serum Sodium is 132 mEq/L.

- Used to evaluate overall health that may also determine presence of infection.
- Hematocrit test measures the proportion of red blood cells in the blood. As the volume
of fluid in the blood drops, the proportion of RBCs rises. Normal HCT: men: 42% - 52%
- In the case scenario, the patient has a result of 60% which indicates that the patient is
dehydrated. The patient has a manifestations of poor skin turgor and dry lips and mouth
which are both signs of dehydration.
- Hemoglobin (Hgb) is the main intracellular protein of erythrocytes that carries oxygen
(O2) to and removes carbon dioxide (CO2) from red blood cells (RBCs). Normal range of
Hgb: men: 13g/dl –18g/dL. Based on the scenario, the patient has a decreased Hgb
level of 11mg/dl or 0.011 g/dl. Low Hgb level suggests that the patient has anemia.
- RBC count t determines the number of RBCs per cubic millimeter of whole blood. The
main role of RBCs, which contain the pigmented protein hemoglobin (Hgb), is the
transport and exchange of oxygen to the tissues. Normal (men): 5.21–5.81/mm3. The
patient’s RBC count is 5000/mm3 which is within normal range.
- WBC helps determines presence of infection. Normal: 4,500 – 110,000/mm3. The
patient has an increased WBC result of 14,000/mm3 indicating infection.
- Serum potassium used to evaluate fluid and electrolyte balance related to potassium
levels toward diagnosing disorders such as acidosis, renal failure, dehydration, and
monitor the effectiveness of therapeutic interventions. Normal: 3.5-5 mEq/L. The patient
has a moderate decreased level of serum which is 3.4 mEq//L.
- Serum sodium used to assess electrolyte balance related to hydration levels and
disorders. Normal: 135-145 mEq/L. Patient has a moderate decreased serum Na level
which is 132 mEq/L or hyponatremia. Hyponatremia primarily occurs due to an
imbalance of water rather than sodium. Patient has a manifestation of poor skin turgor,
dry mucosa, abdominal pain which are signs of hyponatremia.

References:

 The Nemours Foundation. (n.d.). Ultrasound: Renal (kidneys, ureters, bladder) (for
parents) - nemours kidshealth. KidsHealth. Retrieved December 3, 2021, from
https://kidshealth.org/en/parents/renal-ultrasound.html.
 MediLexicon International. (n.d.). Calcification: Types and treatment. Medical News
Today. Retrieved December 3, 2021, from
https://www.medicalnewstoday.com/articles/calcification#kidneys.
 What is kidney atrophy? National Kidney Foundation. (2021, February 19). Retrieved
December 3, 2021, from https://www.kidney.org/atoz/content/what-kidney-atrophy.
 Diagnosing atherosclerosis. News. (2019, June 3). Retrieved December 3, 2021, from
https://www.news-medical.net/health/Diagnosing-Atherosclerosis.aspx.
 Pannu, et al., (2019, December 28). ECG triad of chronic kidney disease.
Academic.oup.com. Retrieved December 4, 2021, from
https://academic.oup.com/qjmed/article/112/6/465/5265252.
 Vital signs (body temperature, pulse rate, respiration rate, blood pressure). Johns
Hopkins Medicine. (n.d.). Retrieved December 2, 2021, from
https://www.hopkinsmedicine.org/health/conditions-and-diseases/vital-signs-body-
temperature-pulse-rate-respiration-rate-blood-pressure.
 Centers for Disease Control and Prevention. (2015, July 20). Pathogen &
Environment. Centers for Disease Control and Prevention. Retrieved December 5, 2021,
from https://www.cdc.gov/parasites/amebiasis/pathogen.html.
 Brunner and Suddarth’s., (2018). Medical Surgical Nursing. Singapore: Elsevier.
 Davis’s., (2015). Comprehensive Handbook of Laboratory & Diagnostic Tests.
Philadelphia. F. A. Davis.