SUPER URGENT!! Which two specific laboratory blood test results suggest that the
ID: 3482983 • Letter: S
Question
SUPER URGENT!!
Which two specific laboratory blood test results suggest that the patient is not vitamin K deficient? What would be the immediate implications for the patient had he been vitamin K deficient? (15 pts)
(this is what we have so far for our answer, but the question is worth 15 points, so we're looking for a bit more detail to add)
The two specific blood tests, PT and PTT, suggest that the patient is not vitamin K deficient. The normal range for PT is 10-14 seconds and the normal range for PTT is 25-35 seconds. T.B.’s results were 11.4 seconds (PT) and 34.8 seconds (PTT). If T.B. was vitamin K deficient, his blood would take much longer to clot. He would also be prone to bruising, experiencing excessive bleeding and blood in his urine/stool.
Na
137 meq/L
MCHC
29 g/dL
AST
16 IU/L
K
3.8 meq/L
Plt
187,000/mm3
ALT
20 IU/L
Cl
102 meq/L
WBC
18,900/mm3
T Bilirubin
1.0 mg/dL
HCO3
24 meq/L
• PMNs
74%
T Protein
7.3 g/dL
BUN
(high) 19 mg/dL
• Bands
6%
Alb
3.8 g/dL
Cr
0.7 mg/dL
• Lymphs
17%
Vitamin A
40 mg/dL
Glu, fasting
109 mg/dL
• Monos
3%
Vitamin D, 25OH
43 ng/mL
Hb
11.8 g/dL
Ca
8.3 mg/dL
Vitamin E
0.2 mg/dL
Hct
35.1%
PO4
2.9 mg/dL
PT
11.4 sec
MCV
77 fL
Mg
2.1 mg/dL
PTT
34.8 sec
Na
137 meq/L
MCHC
29 g/dL
AST
16 IU/L
K
3.8 meq/L
Plt
187,000/mm3
ALT
20 IU/L
Cl
102 meq/L
WBC
18,900/mm3
T Bilirubin
1.0 mg/dL
HCO3
24 meq/L
• PMNs
74%
T Protein
7.3 g/dL
BUN
(high) 19 mg/dL
• Bands
6%
Alb
3.8 g/dL
Cr
0.7 mg/dL
• Lymphs
17%
Vitamin A
40 mg/dL
Glu, fasting
109 mg/dL
• Monos
3%
Vitamin D, 25OH
43 ng/mL
Hb
11.8 g/dL
Ca
8.3 mg/dL
Vitamin E
0.2 mg/dL
Hct
35.1%
PO4
2.9 mg/dL
PT
11.4 sec
MCV
77 fL
Mg
2.1 mg/dL
PTT
34.8 sec
Explanation / Answer
Vitamin k very important lipid soluble vitamins essensial for production of Coagulation factors.
Deficiency of vitamin k results in minor to major bleeding from all parts of body. It affects from infant to old age people. In children's it result in intracranial hemorrhage, Gastero intestinal hemorrhage, intra Thoracic hemorrhage, caused by traumatic birth injury.
In adults it can result in bleeding and bruising, skin hemorrhage, stomach pain, calcification of cartilage, severe malformation of developing bones,tooth decay, cancer, arrhyhtmia of heart, bleeding from nose, in severe cases intra cranial and gasterointestinal bleeding occours.
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