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Blood Test Results Help Guide

This Blood Test Results Help Guide provides you with educational information and references for each of the default blood test types included in the OneTrackHealth mobile phone and web applications for adult people with chronic kidney disease (CKD) who are on dialysis. The organizations that provide guidance to nephrologists to determine the test result ranges include the National Kidney Foundation (NKF) Kidney disease outcome quality initiative (KDOQI™), The Kidney disease improving global outcome (KDIGO), and Up to Date® which provides evidence-based, point-of-care clinical decision support to help your physician make care decisions with confidence. The default test ranges have also been confirmed by our Nephrologist consultant.

 

Although we take care and are confident in our reference and test ranges which have been confirmed by our Nephrologist consultant, we provide reference ranges for your educational purposes and informational use only. We recommend that you consult with your licensed healthcare provider and nephrologist for your specific reference ranges. You can change the default test ranges via the test edit tool. Always consult your licensed healthcare provider based on any information we provide.

For a review of the OneTrackHealth mobile phone and web application features go here.

Blood test result reference ranges for people with chronic kidney disease who are on dialysis

Below is a list of the default tests that are included in the OneTrackHealth mobile phone and web application, background information and the associated references for each test type. You can change these test ranges via the edit tool on the Test Results page in the app. We recommend you consult with your nephrologist before making any changes.

Albumin

Serum albumin is the most common protein found in your blood and is involved in maintaining many functions in the body. It is made in your liver, but a diet high in protein is important to make the appropriate amount in your body. When albumin is too low, you may get swelling from the buildup of fluid in your feet, ankles, hands, around your eyes, lower back, or other parts of your body. Serum albumin levels have been used extensively to assess the nutritional status of people with CKD on dialysis as malnutrition is common.  

References for Albumin test result ranges in the OneTrackHealth mobile app:

The default blood test result range for serum albumin of 4-8 mg/dL is included on recommendation of consultant nephrologist. The NKF KDOQI (Kidney Disease Outcome Quality Initiative) Guidelines maximum range is 4.0 mg/dL or higher. Please consult with your nephrologist to confirm or change the range to match their recommendations. 

Calcium

Calcium is an abundant mineral found in the body that helps support strong bones.  Maintenance of normal calcium balance and serum calcium levels depend on integrated regulation of calcium absorption and secretion by the intestinal tract, the excretion of calcium by the kidney, and calcium release from and calcium deposition into bone.  

It is important to keep track of calcium levels to reduce the risk of bone fractures. In order to maintain the recommended levels, be aware of your calcium intake. Some foods are naturally high in calcium while others that are not natural sources of calcium have it added to them.

References for Calcium test result ranges in the OneTrackHealth mobile app:

The default blood test result range for serum calcium is 8.4-10.2 mg/dL was taken from the NKF KDOQI (Kidney Disease Outcome Quality Initiative) Guidelines and confirmed by nephrologist consultant. Please consult with your nephrologist to confirm or change the range to match their recommendations.

Hemoglobin

Hemoglobin (Hgb) is the oxygen carrying protein found in red blood cells (RBCs) that carries oxygen from the lungs to the tissues of the body including heart, brain and muscles which help you function normally. When Hgb levels are low, you can feel weak and tired. Anemia is a condition that occurs when you have a lower than normal amount of red blood cells (RBCs) or Hgb in the bloodstream.

It is important to keep track of Hgb levels as too low or too high Hgb levels can be dangerous for a person on dialysis and can lead to cardiovascular problems. 

References for hemoglobin test result ranges in the OneTrackHealth mobile app.

The default blood test result range for serum hemoglobin is 10-11.5 g/dL and was determined using the following references: Up to Date® which provides evidence-based, point-of-care clinical decision support to help your physician make care decisions with confidence, NKF website, and was confirmed by nephrologist consultant. Please consult with your nephrologist to confirm or change the range to match their recommendations.

Phosphorus

Phosphorus is an abundant mineral found in the body and in many foods that helps support strong bones and is involved in cellular functions throughout the body. When the kidneys are not functioning, they are unable to remove extra phosphorus in your blood, this excess phosphorus in combination with calcium loss causes soft tissue calcification including vascular calcifications. Calcification of coronary arteries, cardiac valves, and pulmonary tissues produces cardiac disease, the leading cause of death in people with CKD. 

 

It is therefore important to prevent this from occurring and maintain serum phosphorus levels within the normal range.

 

References for Phosphorus test result ranges in the OneTrackHealth mobile app:

The default blood test result range for serum phosphorus is 3.5-5.5 mg/dL and was taken from the NKF KDOQI (Kidney Disease Outcome Quality Initiative) Guidelines, and confirmed by nephrologist consultant. Please consult with your nephrologist to confirm or change the range to match their recommendations. 

Potassium

Potassium is a mineral found in many of the foods you eat. It plays a role in keeping your heartbeat regular and your muscles functioning. When the kidneys are not functioning, they are unable to remove potassium in your blood. If your potassium becomes too high, it can cause an irregular heartbeat or a heart attack. 

 

References for Potassium test result ranges in the OneTrackHealth mobile app:

The default blood test result range for serum potassium is 3.5-5.5 mmol/L and was taken from the NKF (National Kidney Foundation) and KDIGO (Kidney disease improving global outcome) recommendations and confirmed by nephrologist consultant. Please consult with your nephrologist to confirm or change the range to match their recommendations. 

App Review

The OneTrackHealth mobile phone & web application is designed with three test result viewing options.

Your Main Dashboard View

  • The first time you open your account, you will see the 5 default test types reviewed above (Albumin, Calcium, Hemoglobin, Phosphorus, and Potassium) listed with a grey semi -circle above each test name. Once you start adding test results, each semi-circle will show the average of the last 3 test results (maximum). When you add a new profile you will have the option to choose either a dialysis template with the 5 default test types and reference ranges for a person on dialysis included or a blank test type which allows you to start off with the tests of your choice.

    • Each semi-circle/test type is color coded:

      • Grey means no test results have been entered.

      • Green means you are within your set test reference ranges and are on track.

      • Red means you outside of your set test reference ranges and are off track. Work needs to be done. Check with your doctor.

    • If a specific test is colored red as explained above an indicator arrow will be displayed showing you how far above or below you are from the set test reference range for that specific test.

  • Click on the semi-circle result to get to the Test Results page which contains graphical views.

Test Results Page

  • The top of the Test Results page shows your test results by month (with a default view of 4 months) also in green/red color coding.

    • You can change the date range for this view as you like.

    • The light green coloring on the graph indicates when you are within the set range for each test type.

    • Above each column is the actual test result number you entered.

      • If more than one test result was entered for a month the average of the test results will be on the top of the column.

    • You can scroll left and right to see the different test types in this view.

    • To change a default test type upper and lower result limits, or to delete a default test type go to the test edit tool located on the upper right of the Test Results page and make the changes you want. We recommend you consult with your nephrologist before making any changes.

Long Term Results Page

  • Scroll down to see the long-term view (with the default view set at one year of test results). You can change the date range for this view as you like. This view also has a light green coloring representing the set reference range for the test type you are viewing.

(+) Functions

  • The (+) icon on the bottom of each page allows you to:

    • Add new profiles

    • Add test results by typing them in

    • View history and edit as needed

    • Add your own test type that you want to monitor and set the test upper and lower limits of the test reference range.

Profiles

  • To edit your profile click on the profile circle.

    • On the Edit Profile page you can do the following:

    • Change the name and/or picture of the profile

    • Add a Care Partner

    • Delete the profile by clicking on the trash can image on the upper right

  • When you add a new profile with the (+) sign, you have the option to either choose the "dialysis" template option which use the test types with the test result reference ranges as indicated above or choose the "blank" template option and not use the dialysis default tests included, and build your own test types that you want to monitor regularly.

  • To move between different profiles swipe left and right.

Inviting a Care Partner

  • You can invite a care partner from your profile circle or from the upper left 3 horizontal lines on your main screen (this is called your menu). You will see "Care Partners".

  • From the upper left menu Care Partners opens up the Care Partner Management panel. Here you can share a profile and see which profiles you are sharing and what profiles have been shared with you.

  • Click on Share Profile:

    • Select the profile you want to share from the dropdown menu

    • Enter the email address of the person you want to share your profile with, they will receive an email from OneTrackHealth letting them know you want to share your profile. If they have an account they will just need to accept your invitation. If they don't have an account they will need to sign up for an account with their name and email address.

    • Sharing a profile means that your care partner will be able to add, edit and delete both your test types and test results. Your care partner will not be able to delete your account or your profile. You will be notified of any changes your care partner makes ONLY via email. If you do not want to be notified you change your this setting in the Account Details page in the menu.

Menu

  • Located on the upper left of your main screen dashboard with 3 horizontal lines. Click on the lines to see the following:

  • Account - This is your name and email address. You can opt out of receiving notifications when your care partner makes a change to your account in this location. You can also delete your account in this location.

  • Tutorial - You can revisit the video tutorial at any time

  • Feedback - This will link you to our feedback form - please share any feedback you have here.

  • Test Results Help Guide - if your reading this you have found this spot!

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