Question

uT Show calculations and units for credit. Please put answers in the space (1) You are monitoring a 60 yrs. old male who began taking a drug with known Folate antagonist (antifolate) properties 9 weeks ago and is now half way through H (pg) RBC folate 32.1 210.3 4.01 1029 116.31 6.5 Based on these valucs, fill in the tables belo 41.3% 2.9 9ldL 16.2 x140 1025 15.9% RDW Based on these values, is he anemic? (Yes / No ) Based on: Low Het/Low HgB /Both Low/ Both Describe his current RBC Morphology (circle all that apply): (choose one)l normocytic microcytic hyperchromic normochromic hypochromic Is there evidence that he has been compliant in taking the medication with anti-folate properties? (Yes/No) Provide brief rationale for your answer

Answer 1

The first parameter to be changed is increasing the dose of folate-drug according to the patient's serum folate level.

Rationale:

The current drug level does not meet the demand of folate needs. So the dose to be increased to meet the increasing demands.

The parameter that takes longest to change is vitamin B12 correction.

Rationale:

Folate along with vitamin B12 is essential for the formation of red blood cells. Deficiency of vitamin B12 results in elevated MCV value and immature red cell production. Vitamin B12 is essential for folate correction.