Lab Tests

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Author:
cmg7737
ID:
35369
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Lab Tests
Updated:
2010-09-17 15:44:38
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Lab Tests
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Lab Test Ranges
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  1. -------l----------l----------<

    Fill in Chem7
    • Na Cl BUN
    • -------l-----------l---------< Glucose
    • K CO2 Scr
  2. What's the normal Na range? What is it called below this range? How low must it be to become a major health issue?
    135-145 mEq/L normal range

    hyponatremia

    <120mEq/L requires medical attention
  3. What's the normal range for K?

    When do we start medical treatment?
    3.5-5.0 mEq/L is normal range

    • <3.0 is the beginning of the moderate range and where we begin treatment
    • <2.5 is start of severe trouble range
  4. What is the normal lab range for Cl?
    96-106 mEq/L
  5. What's the regular lab value range for CO2?
    24-30 mEq/L
  6. What is a normal fasting glucose range?
    70 – 110 mg/dL
  7. What's a normal BUN (blood urea nitrogen) range?
    7-20 mg/dL
  8. What's the normal serum creatinine range?
    0.7 – 1.5 mg/dL
  9. What are signs and symptoms of hyponatremia at <120mg/dL?
    agitation, anorexia, apathy, disorientation, muscle cramps, nausea, depressed deep tendon reflexes, and seizures
  10. What 5 things regulate Na in the body?
    antidiuretic hormone (ADH); renin-angiotensin-aldosterone system; and natriuretic factor (ANF) => renal glomerular filtration rate and sodium reabsorption/excretion
  11. What are the 2 main causes of hyponatremia?
    • 1. Na depletion in excess of total body water.
    • 2. Dilution hyponatremia where water intake is much greater than output
  12. CHF, liver disease, and renal failure all tend to cause which kind of hyponatremia?

    What would be a typical treatment of this?
    Na depletion in excess of total body water

    Na and water restrictions, diuretics
  13. Dilution hyponatremia can be due to what? (5 examples given)
    • Primary SIADH, renal failure
    • Neuroendocrine
    • Psychiatric
    • Osmotic
    • Drug induced (thiazide diuretics)
  14. What are the signs and symptoms of hypernatremia?

    What lab values indicate hypernatremia?
    Thirst, restlessness, irritability, muscle twitching, seizures(both hyper and hypo so must look for other symptoms), coma, death

    >145mEq/L
  15. Which occurs more often, hypernatremia or hyponatremia?

    Which one is likely more dangerous to the patient?
    hypernatremia for both questions
  16. What would be a standard treatment for hypernatremia?
    D5W or 1/4NS for about 24hrs
  17. What are the 3 types of hypernatremia?
    • Low total body sodium - loss of water and sodium, but greater water loss
    • Normal total body sodium - water loss and redistribution, sodium same
    • High total body sodium - exogenous administration of Na (rare)
  18. CPR using Sodium Bicarbonate, IVs with >0.9NS, swallowing sea water, and dialysis involving Na solutes could cause what?
    hypernatremia (high total body sodium)
  19. Fever or extensive burns could cause what related to Na?
    hypernatremia (normal total body sodium)
  20. Is Na an intra or extracellular cation?

    What about K cation?
    extracellular

    intracellular
  21. What K lab range would indicate hypokalemia?

    At what range should treatment begin?

    At what range is it considered in severe need of medical help?
    <3.5mEq/L

    <3.0mEq/L (beginning of moderate range)

    <2.5mEq/L (beginning of severe range)

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