Internal monitoring in the ICU

Glykemia

 * See Diabetilogical test

Urea and creatinine

 * Renal function index;
 * When urea goes up, but creatinine does not, it is a ascended catabolism;
 * Worsening renal function without the increase of creatininemia means bleeding into big muscle groups or the GIT

Total protein and albumin

 * Albumin – oncotic pressure, pH!;
 * Loss of proteins can sometimes be substituted by colloid solutions (dextran, gelatine,...), because administered protein can be deposited somewhere outside of blood stream (e.g. to the lungs...)

Ionts

 * See Sodium, Potassium, Chlorides, Calcium, Phospate, Magnesium

Blood Gasses
- ABR, Oxygen parameters

Acute Phase Reactants

 * see Acute Phase Reactants

Liver Function Tests

 * Bilirubin, AST, ALT, GGT;
 * We can see pathological changes in almost every ICU patient - they are mostly hypovolemic (hypoxic), they have some sort of intection, and it can also be due to medication and parenteral nutrition

Urine examinations

 * Diuresis – daily

Literature

 * ws:Monitorování vnitřního prostředí v intenzivní péči