T4, FREE THYROXINE correct answer: 0.8-2.8
Increased In Graves
Decreased In Hypothyroidism
TSH correct answer: 2- 10 mu/l
Normal values can range
... [Show More] from 0.4 - 4.0 mIU/L (milli-international units per liter),
Calcium, Ca++ correct answer: 8.8-10.5
<7.0, tetany
>11.0, hyperparathyroidism
>13.5, hypercalcemic coma, metastatic cancer
Sodium, Na+ correct answer: 135-148 mEq/L
hypernatremia correct answer: dehydration
hypovolemia
diabetes insipidus
eating too much salt
gastroenteritis
drugs such as adrenocorticosteroids, methyldopa, hydrazine, cough meds
hyponatremia correct answer: drugs such as lithium, vasopressin, diuretics
addisons
renal disorder
gi fluid loss
Magnesium, Mg correct answer: 1.3 - 2.1 mEq/L
lithium can increase
hypomagnesemia correct answer: depression, confusion, irritability,nystagmus, tetany, convulsions, ataxia, increased reflexes, muscle weakness
hypermagnesemia correct answer: N/V, respiratory depression, hypotension, depressed skeletal muscle contraction and nerve function, bradycardia
Potassium, K+ correct answer: 3.5-5.1 mEq/L
hyperkalemia correct answer: chronic marijuana use can elevate potassium
Chloride, Cl correct answer: 98 - 106
passive transport through sodium
major anion in the extracellular fluid
Liver - ALT correct answer: 5 - 35 U/L - depakote can increase, safe to use up to 2 times normal limit
Liver - AST correct answer: 5 - 40 U/L
slight elevation can occur in DT's
depakote can increase, safe to use up to 2 times normal limit
Liver - GGT correct answer: 10 - 38 IU/L
Thrombocytopenia correct answer: Platelet count normal = 150,000-450,000
if below - bone marrow doesn't make enough platelets.
or bone marrow makes enough platelets, but the body destroys them or uses them up.
or - The spleen holds on to too many platelets. The spleen is an organ that normally stores about one-third of the body's platelets. It also helps your body fight infection and remove unwanted cell material.
can be caused by Valproate
Neutropenia correct answer: A normal ANC is above 1,500 cells per microliter. An ANC less than 500 cells/µL is defined as neutropenia and significantly increases the risk of infection. Neutropenia is the condition of a low ANC,
Clozapine - WBC => 3500 to initiate therapy, ANC MUST BE =>2000/mm, ck wbc/anc weekly x 6 months, then Q other week for 6 months; if stable then Q 4 weeks. after therapy test for at least 4 weeks,
LIVER PANEL correct answer: ALP, AST, ASP, BILIRUBIN, ALBUMIN, TTL PROTEIN, CBC with WBC DIFFERENTIAL, PLATELET COUNT. FOR VALPROATE THERAPY - CK BASELINE AND MONTHLY FOR SEVERAL MONTHS
CREATININE correct answer: 0.5-1.2 normal, kidney damage if elevated , athletes may be higher
BUN correct answer: 10-20 mg/dL
LITHIUM THERAPY correct answer: CREATININE/BUN, SERUM ELECTROLYTES, CBC W/WBC & DIFF, URINALYSIS, EKG, ck levels (post dose 12 hrs trough), after 4 days on med, then q 4-5 days during initial therapy [Show Less]