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Pt with mesenteric ischemia has hematocrit of 55%

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Final answer:

In a patient with mesenteric ischemia and a hematocrit of 55%, the high hematocrit level suggests possible dehydration or an overproduction of red blood cells, leading to reduced renal plasma flow and risks of hypoxia and tissue damage.

Step-by-step explanation:

A patient with mesenteric ischemia who has a hematocrit level of 55% is experiencing an elevated hematocrit value, since normal hematocrit levels usually range from about 38.3 to 48.6 percent for adult males, and 35.5 to 44.9 percent for adult females. The high hematocrit level can suggest several conditions, including dehydration or a disorder causing overproduction of red blood cells.

Given that renal plasma flow is calculated by multiplying blood flow per minute by the hematocrit (where a hematocrit of 45 indicates a renal plasma flow of 55 percent), this patient's renal plasma flow would be considered diminished, as they have a hematocrit significantly above the normal range.

Furthermore, referencing hypovolemia, hypoxemia, and the inferior mesenteric artery, the concern for a patient with mesenteric ischemia and high hematocrit would be adequate blood supply and oxygen delivery to the intestines, which may be compromised. It is vital for medical professionals to address these concerns promptly to prevent further complications such as hypoxia and potential tissue damage in the patient.

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