Question

Use MCHC when determining morphology Blood tests evaluating Folate and vit.B12 were done 2 weeks ago. At that time, she was prescribed daily, oral tablets for BOTH Folate and vit. B12. She is adamant that she has been taking the daily supplements exactly as prescribed. Her 2 week old and current Folate and vit.Bi2 data are provided below. Fill-in the evaluative data and answer the questions that follow. Test Status Current Status Ser. Folate (nmolL)10.7 RBC Folate (nmoVL) 203Dd Serum Hcy (umo/L) 17. eftde Bordere 18.4 arteptue 16.8el 129 ded compliant in taking the supplements (as Ser. Bız (pmo/L) 126 DeHde In 1-2 sentences, what is the evidence that she has been she claims)? Include two specific indices to justify your answer.

Answer 1

1. 2 Evidence for her compliance are :-

- increase in serum folate levels

- increase in serum vitamin B12.

It's been 2weeks only ,there will be no drastic changes in the folate and vitamin B12 ,but there are certain changes which shows that she had good compliance with the medications .

2. Overall interpretation of her condition is that she has deficiency of serum vitamin B12 ,RBC folate , and serum Hcy and needs to be treated with supplements and nutritional support .

3. Plan for future test is that after a 2months period of treatment there will be revaluation made to assess the status of the patient

4. The next course of action in terms of treatment is that to provide supplemental treatment in the form of oral tablets injections ,blood transfusions if needed ,blood forming tablets , and nutritional support .