Prealbumin - testing for malnutrition (was Re: patient of mine)

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See also:

Devoto G; Gallo F; Marchello C; Racchi O; Garbarini R; Bonassi S;

Albalustri G; Haupt E. Prealbumin serum concentrations as a useful

tool in the assessment of malnutrition in hospitalized patients.

Clin Chem. 2006; 52(12):2281-5

Kuszajewski ML; Clontz AS. Prealbumin is best for nutritional

monitoring. Nursing. 2005; 35(5):70-1

Arnold GL; Vladutiu CJ; Kirby RS; Blakely EM; Deluca JM. Protein

insufficiency and linear growth restriction in phenylketonuria. J

Pediatr. 2002; 141(2):243-6

Mittman N; Avram MM; Oo KK; Chattopadhyay J. Serum prealbumin

predicts survival in hemodialysis and peritoneal dialysis: 10 years

of prospective observation. Am J Kidney Dis. 2001; 38(6):1358-64

Ava

> > > >

> > > > Hi All,

> > > > I am looking for some advice. I have a pt who has had a

> pretty

> > > rough course. She is currently down to a weight of 170#, she

has

> > > lost ~150# since surgery last December. Pt presented to my

> office

> > > w/ redness in her legs that are very tender to touch. She also

> has

> > > edema. My first impression was gout, which came back

negative,

> > > another thought I had was low albumin. I tested a prealbumin

> that

> > > came back only at 8 the first time, she has been able to bring

> it up

> > > slightly to 12.1 as a result from drinking unjury shakes and

> > > realmeals. Pts symptoms have not improved as a result. Are

> their

> > > any vitamin/mineral deficiencies any of you could think of

that

> may

> > > relate to this or do you think its just because her protein

> stores

> > > are so low right now. If anyone could get back to me that

would

> be

> > > greatly appreciated! Thanks

> > > > O'Donnell RD, LD

> > > > SMMC.

> > > >

> > > >

> > > > ---------------------------------

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> > > >

> > >

> >

>