Rosie NOVA results show which of the following?

• A. Decreased PCV/TS, increased lactate/glucose
• B. Increased PCV/TS, decreased lactate
• C. Normal PCV/TS with normal lactate
• D. Decreased PCV/TS with decreased glucose

Answer: (A)

The pattern you’re looking for is how blood values reflect hydration, oxygen delivery, and metabolic state. A decreased PCV (packed cell volume) and decreased total solids suggest either anemia or hemodilution from fluid overload—blood is thinner and carries fewer cells and proteins. Elevated lactate points to tissues not getting enough oxygen, so the body shifts toward anaerobic metabolism, raising lactate levels. Elevated glucose is a common stress response, driven by catecholamines and cortisol mobilizing energy stores.

Seeing decreased PCV/TS with both increased lactate and increased glucose fits a picture of a stressed, possibly hypoperfused patient with dilution or loss of blood components. That makes it the best fit for Rosie NOVA results.

The other patterns don’t align as well: higher PCV/TS would imply concentration of blood components rather than dilution; lower lactate would suggest adequate perfusion; normal PCV/TS with normal lactate would indicate no evident abnormalities; and decreased PCV/TS with decreased glucose would be less typical of an acute stress response, where glucose often rises.