A client with suspected Guillain-Barré syndrome has a lumbar puncture performed. The cerebrospinal fluid (CSF) protein is 750 mg/dL. The nurse analyzes these results as which?
Added by Susan R.
Step 1
Let's think step by step. Show more…
Show all steps
Your feedback will help us improve your experience
Mauya Mitchell and 59 other Nursing educators are ready to help you.
Ask a new question
Labs
Want to see this concept in action?
Explore this concept interactively to see how it behaves as you change inputs.
Key Concepts
Recommended Videos
A 31-year-old man was in good health until about 1 year ago, after he began working as an accountant. Within the last year, he began to notice episodic blurring of vision, diplopia, mild vertigo, and headache. He complained of sensory loss in his hands and a feeling of weakness after physical exertion but thought that was just "out of shape." He went to his physician after suffering leg and shoulder weakness accompanied by a feeling of paralysis, which was followed by a sensation of "pins and needles" in his left leg. Neurologic examination led to a spinal tap being performed for laboratory findings and a brain and spinal cord magnetic resonance imaging (MRI). His MRI showed demyelinating lesions, and other ancillary tests showed demyelinating damage to the auditory and visual pathway. The laboratory results were as follows: CSF Clear, colorless fluid, apparently free of debris; culture yields no growth WBC Normal Glucose 60 mg/dL (plasma = 80 mg/dL) Total protein 59 mg/dL Albumin index 1.7 IgG index 0.97 Electrophoresis Oligoclonal bands present Questions: 1. What is the significance of the albumin index? The IgG index? 2. What pathology is consistent with these results?
Mauya M.
Case Study 3: Relatives bring a 78 year old woman to the emergency room. The family reports that she is confused and disoriented for several hours. Patient temperature and other basic vital signs appear normal. No stiffness of neck seen. Spinal column pressure is within normal range and three tubes of CSF showing an even distribution of blood are sent to the lab. Test results are as follows: Glucose 75 mg/dL Protein 165 mg/dL Gram Stain No organisms seen. WBC Count 713 / µL RBC Count 2600 / µL Differential Segs 70 % Lymphs 25 % Monos 4 % Eos 1 % Basos ---- Others Numerous erythrophages seen. What is the most probable cause for the results in this patient? Give at least two (2) reasons for your conclusion. (5pts)
Sri K.
CASE STUDY M-5 An 18-year-old female college student complains of fever, chills, headache, and vomiting. She presents to the college health service ED, where she is examined. She appears lethargic, and her temperature is 102°F. Blood is drawn for a CBC and culture, urine is collected for analysis, and a serum chemistry profile is ordered. A lumbar puncture is performed, and cloudy CSF is collected. Laboratory data follow: Complete Blood Count WBC count: 20.0 x 10⁹ (normal range 5-10 x 10⁹) Differential: Marked neutrophilia with shift to immature forms (shift to the left) CSF Results WBC count: 1200 cells/mL with 95% neutrophils (reference value: 0-5 lymphocytes) Glucose: 25 mg/dL (decreased, compared with blood glucose value) Protein: 150 mg/dL (increased) Other Data Gram stain: Many neutrophils, Gram-negative diplococci in pairs Urinalysis: Increased protein, few RBCs, few granular casts Serum chemistries: Within reference values Critical Thinking Questions 1. What characteristics of the patient presented in the case history would provide clues as to the potential infectious agent? 2. Explain why the physician ordered the chemistry panel in conjunction with the other tests.
Adi S.
Transcript
18,000,000+
Students on Numerade
Trusted by students at 8,000+ universities
Watch the video solution with this free unlock.
EMAIL
PASSWORD