MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A patient with chronic renal failure is examined by the health care provider for anemia. Which laboratory results will the nurse monitor?
A
Increased reticulocyte count
B
Decreased level of erythropoietin
C
Decreased total iron-binding capacity
D
Increased mean corpuscular volume
Explanation: 

Detailed explanation-1: -Anemia of CKD tends to primarily involve functional iron deficiency. Traditionally, this is characterized by a TSAT less than 20% and a ferritin level less than 100 ng/mL; however, there is evidence that those cutoffs may not be sensitive to detect iron deficiency.

Detailed explanation-2: -When your kidneys are damaged, they produce less erythropoietin (EPO), a hormone that signals your bone marrow-the spongy tissue inside most of your bones-to make red blood cells. With less EPO, your body makes fewer red blood cells, and less oxygen is delivered to your organs and tissues.

Detailed explanation-3: -The goals for a patient with chronic renal failure include: Maintenance of ideal body weight without excess fluid. Maintenance of adequate nutritional intake. Participation in activity within tolerance.

Detailed explanation-4: -ABSTRACT. Anemia of renal disease is common and is associated with significant morbidity and death. It is mainly caused by a decrease in erythropoietin production in the kidneys and can be partially corrected with erythropoiesis-stimulating agents (ESAs).

There is 1 question to complete.