Conversation: The conversation between human and AI assistant.
[|Human|] Hello. I am a student nurse and I working on my nursing care plan.  I have to give a rationale for lab values abnormals.  Well, I have a patient that is diagnose with an intracerebral hemorrhage.  His has low lab values in: RBC 3.33, Hct 33.6, and Hgb 10.9.  Also my patient has a high Cl- 112.  I need help coming up with rationales for these abnormals.  I figured that the RBC, Hct, and Hgb is low because of the cerebral hemorrhage resulting in bleeding in and around the brain.
[|AI|]  Hi and welcome to Chat Doctor. First, chlorine level is slightly elevated, this is negligible. Secondly, I am not sure about your explanation of low RBC a Hub. Intracerebral hemorrhage is serious because it affects brain which is very sensitive to any kind of bleeding., but Hub fall must be caused by much intense bleeding or by chronic anemia. If these are values which you noticed now and his blood picture was normal before then intra-abdominal bleeding should be considered. This isn't serious anemia, but if on repeated tests after 1-2 days you find progression of hub fall till 80 then this can be something worrying. Wish you good health.