Synonym/Acronym
Zn.
Rationale
To assist in assessing for zinc deficiency or toxicity, monitor therapeutic interventions, and assist in diagnosing disorders related to healing and immune function.
Patient Preparation
There are no food, fluid, activity, or medication restrictions unless by medical direction.
Normal Findings
Method: Inductively Coupled Plasma-Mass Spectrometry.
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Study type: Blood collected in a trace element-free, royal blue-top tube; related body system: .
Zinc is found in all body tissues, but the highest concentrations are found in the eye, bone, and male reproductive organs. Zinc is involved in RNA and DNA synthesis and is essential in the process of tissue repair. It is also required for the formation of collagen and the production of active vitamin A (for the visual pigment rhodopsin). Zinc also functions as a chelating agent to protect the body from lead and cadmium poisoning. Zinc is absorbed from the small intestine. Its absorption and excretion seem to be through the same sites as those for iron and copper. The body does not store zinc as it does copper and iron. Untreated zinc deficiency in infants may result in a condition called acrodermatitis enteropathica. Symptoms include delayed growth, diarrhea, impaired wound healing, and frequent infections. Adolescents and adults with zinc deficiency exhibit similar adverse effects on growth, sexual development, and immune function, as well as altered taste and smell, emotional instability, impaired adaptation to darkness, impaired night vision, tremors, and a bullous, pustular rash over the extremities.
Factors That May Alter the Results of the Study
Increased In
Zinc is contained in and secreted by numerous types of cells in the body. Damaged cells release zinc into circulation and increase blood levels.
Decreased In
This trace metal is an essential component of enzymes that participate in protein and carbohydrate metabolism. It is involved in DNA replication, insulin storage, carbon dioxide gas exchange, cellular immunity and healing, promotion of body growth, and sexual maturity. Deficiencies result in a variety of conditions.
Before the Study: Planning and Implementation
Teaching the Patient What to Expect
After the Study: Implementation & Evaluation Potential Nursing Actions
Treatment Considerations
Nutritional Considerations
Clinical Judgement
Follow-Up and Desired Outcomes