What do the KeCN results (0015=268, 0045=254, 0115=242, 0145=243, 0215=238) indicate for a patient?

The results from the KeCN (Ketone, Creatinine, and Nitrogen) tests indicate varying values that are relevant to a patient's coagulation status and need for heparin adjustment. In this specific scenario, the decreasing values (268, 254, 242, 243, and 238) suggest a trend towards lower coagulation levels. This trend may indicate that the patient is at an increased risk of clot formation due to insufficient anticoagulation effects from heparin.

When interpreting these values, if the results are decreasing and falling below a therapeutic range, it suggests that the patient might require an increase in heparin dosage to maintain proper anticoagulation and prevent complications, such as thrombosis. Adjusting the heparin dosage helps to ensure that the patient's blood remains adequately anticoagulated, especially in dialysis settings where heparin is commonly used to prevent clotting in the extracorporeal circuit.

Thus, the indication for an increase in heparin based on the declining trend of the results is justified. Monitoring and appropriate adjustments based on these results are crucial for patient safety and effective treatment.