You are caring for a patient with cirrhosis. Which of the following lab values would you expect to see with this disease process?

 

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Correct

- Decreased PT/INR

- Increased ammonia levels

- Decreased platelets

- Elevated bilirubin

Rationale

Prolonged PT/INR are noted due to decreased synthesis of prothrombin (liver issues, think issues with coagulation). Increased ammonia is noted because the disease process prevents ammonia from being converted into urea. Platelets are decreased because of anemia (again, coagulation issues). Bilirubin is increased because the liver can't excrete it.

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