Lab Values.txt

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Author:
BostonPhysicianAssist
ID:
111067
Filename:
Lab Values.txt
Updated:
2011-10-24 18:39:07
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Patient Assessment Quiz
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Lab Values
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  1. Metabolic Panel Diagram
  2. Blood Count Diagram
    
  3. Hematocrit Females
    37-47%
  4. Hematocrit Males
    42-52%
  5. Hemoglobin
    12-16 g/dL
  6. WBC
    5,000-10,0000
  7. Leukocytosis causes
    • Infection
    • Leukemia
    • Stress
  8. Leukopenia causes
    • Bone marrow failure
    • Drug toxicity
  9. Neutrophiles
    60-70%
  10. Lymphocytes
    25-33%
  11. Monocytes
    2-6%
  12. Eosinophils
    1-4%
  13. Basophils
    0.25-0.5%
  14. What makes up the "Diff"?
    • Nobody Likes My Educational Background
    • Neutrophils
    • Lymphocytes
    • Monocytes
    • Eosinophils
    • Basophils
  15. Platelets
    150,000-450,000
  16. Sodium
    136-145
  17. Hypernatremia
    Increased intake, decreased Na loss (Cushing), GI loss without rehydration, sweating, burns
  18. Hyponatremia
    Decreased intake, Addison's dz, GI loss with rehydration
  19. Potassium
    3.5-5
  20. Hyperkalemia
    Increased intake, renal failure, crush injury, hemolysis, Addison's dz, hypoaldosteronism
  21. Hypokalemia
    Deficient intake, burns, GI disorder, diuretics, hyperaldosteronism
  22. Chloride
    90-110
  23. Hyperchloremia
    Dehydration, metabolic acidosis, cushings, kidney dysfunction
  24. Hypochloremia
    Overhydration, SIADH, CHF, vomiting
  25. HCO3
    23-30
  26. HCO3 elevation
    Severe vomiting, high volume gastric suction, aldosteronism
  27. HCO3 decrease
    Chronic diarrhea, chronic loop diuretics, renal failure, diabetic ketoacidosis, starvation, metabolic acidosis
  28. BUN
    10-20
  29. Creatine
    • F: 0.5-1.1
    • M: 0.6-1.2
  30. BUN elevation
    Hypovolemia, shock, MI, sepsis, renal infection and failure
  31. BUN decrease
    Liver fialure, overhydration
  32. Creatine elevation
    Renal dz, fhabdomyelisis
  33. Creatine decrease
    Decreased muscle mass
  34. Glucose
    70-100
  35. Glucose elevation
    DM
  36. Glucose decrease
    Increased insulin, hypothyroidism, starvation
  37. Total Ca+
    8.4-10.2
  38. Hypercalcemia
    Hyperparathyroidism, mets to bone, hyperthyroidism
  39. Hypocalcemia
    Hypoparathyroidism, renal failure, Vit D def
  40. Amylase
    25-125
  41. Lipase
    0-140
  42. Amylase elevation
    Pancreatitis, acute cholecystitis
  43. Amylase decrease
    NONE
  44. Lipase elevation
    Pancreatic dz, biliary dz
  45. AST/ALT
    5-40
  46. ALT elevation
    Hepatitis, necrosis, ischemia, mild cirrhosis
  47. AST elevation
    MI, hepatitis, skeletal muscle trauma
  48. AlkP
    42-128
  49. AlkP elevation
    Primary cirrhosis, biliary obstruction, preg
  50. AlkP decrease
    Hypophosphatemia, malnutrition
  51. High AST/ALT ratio
    Suggests advanced alcoholic liver disease
  52. CRP
    <0.8
  53. ESR
    • F: <15
    • M: <20
  54. CRP/ESR elevation
    Non-specific!
  55. Bleeding time
    1-9 minutes
  56. PTT
    60-70 sec
  57. PT
    11-15 sec
  58. INR
    0.8-1.2
  59. D-Dimer
    <200
  60. PTT to be monitored with ____________ therapy
    Heparin
  61. INR to be monitored with ____________ therapy
    Coumadin
  62. Total CK
    • F: 30-135
    • M: 55-170
  63. CK-MB
    0.8 or <5% of total CK
  64. Troponin I
    <0.04
  65. Troponin T
    <0.2
  66. BNP
    <100
  67. BNP elevation
    CHF but have to consider patient baseline
  68. TSH
    2-10
  69. TSH elevation
    HYPOTHYROIDISM
  70. TSH decrease
    HYPERTHYROIDISM
  71. Total Cholesterol
    <200
  72. LDL
    60-180
  73. LDL elevations
    • Optimal <100
    • Above optimal 100-129
    • High 130-159
  74. HDL
    • F: >50-55
    • M: >40-45
  75. Triglycerides
    • F: 35-135
    • M: 40-160
  76. Triglyceride elevations
    • <150 Normal
    • 150-199 Borderline high
    • 200-499 High
    • >500 Very High
  77. What is in an Anemia Panel?
    • Fe
    • TIBC
    • Fe Saturation
    • Ferritin
    • Folate
    • Vit B12

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