CBC (complete blood count) Components - ✔✔ RBC< Hbg, Hct, WBC, PLT
BMP/CMP Components - ✔✔ NA, K, Ca, Mg, Phos, Creatinine, BUN,Albumin,
... [Show More] Glucose
Normal RBC count - ✔✔ 4-5.3 million/mm3w
What happens to body temp prior to ovulation? - ✔✔ Drops
Normal: Hbg (hemoglobin) level - ✔✔ 12-17g/dL
Normal Hct level (Portion of RBC/ Plasma) - ✔✔ -33-51% (3x Hbg)
-See increase if plasma decreases (even if RBC doesn't increase)
-See decrease if over hydrated (even if RBC doesn't decrease)
*If someone is bleeding out, they are losing RBC and Plasma equally, so you will not see an initial decline in Hct
Normal PLT count - ✔✔ 150,000-450,000/mm3
Normal WBC count - ✔✔ -4,500-11,000/mm3
-Differential or % of each of the 5 types of WBCs which will total 100%
-with inflammation (72 hours after) post-OP, see high WBC (NOT infection)
What two types of WBC are indicative of infection? - ✔✔ Neutrophils and Eosinophils
What is elevated with patients that have chronic "Osis" And "itis?" - ✔✔ Monocytes
Normal BUN level; what it shows? - ✔✔ -8-21
-Indicator for hydration
-decreased=fluid overload
-increased=Dehydration, kidney damage
-IF linked at with Creatinine, shows kidney function
If albumin is low, and the med you are giving is protein bound, what happens to patient? - ✔✔ Affects them more intensity
Normal Creatinine level, meaning? - ✔✔ -0.5-1.2mg/dL (once 25% of nephrons are dead, we see increase)
->1.5=50% nephrons dead
-waste product of muscle tissue, MORNING labs
With Addison's disease do we see increase or decrease in Glucose? - ✔✔ decrease
What is the renal threshold for glucose? (at what level will glucose spill into urine?) - ✔✔ 160-190
Are venus blood draws higher or lower than capillary? - ✔✔ 10-15% higher
Normal Na level? - ✔✔ 135-145
Normal K level? - ✔✔ 3.5-5
Normal Ca level? - ✔✔ 8.4-10.2
Normal Phos level? - ✔✔ 2.6-4.6
Normal Mg level? - ✔✔ 1.5-2.6
Serum Osmol normal level? - ✔✔ 275-295 (2x Na)
Hypertonic solutions - ✔✔ -D5% in .45% (commonly used)
-D5% in .9% (commonly used)
-3% NaCl (not commonly used)
-Dextrose 10% (not commonly used)
With hyperaldosteronism what will we see? - ✔✔ Hypernatremia
with hypernatremia, what do we see in BP and P? - ✔✔ increase BP and P
What formula do we use to treat hypernatremia? - ✔✔ 1L fluid for every 3mEq above 145
with what diseases will we see hyponatremia? - ✔✔ -SIADH
-Adrenal insufficiency (Na loss)
In the first 1-2 hours we can increase Na by___________? - ✔✔ 4-6mEq
Hyperkalemia Manifestations? Treatment? - ✔✔ -Tall T waves, long PR, Wide QRS
-diarrhea, cramps
-weak muscles
Tx:
-Calcium Gluconate
-Sodium Bicarbonate
-Dextrose & Regular Insulin
hypokalemia manifestations - ✔✔ -Bradycardia, ST depression, flat T wave
-decreased intestinal movement, ileus, N/V
-decreased reflexes
parathyroid has what type of relationship with Ca? (direct or indirect?) - ✔✔ Direct
S/S and Tx of Hypercalemia/Hypophosphatemia? - ✔✔ -decreased DTR
-lathargic
-N/V/ Constipation
-Short ST
Tx: loop diuretics, increase fluids
S/S and Tx of Hypocalemia/Hyperphosphatemia? - ✔✔ -Cramps, increased DTRs
-Chvostek (cheek) and Trousseau's
-Numbness and tingling
-long ST
Tx: tums, IV calcium
What two tests go with hypocalcemia? - ✔✔ Chadwick's (cheek) and Trusods (thumb)
Normal Magnesium levels - ✔✔ 1.5-2.6
Hypermagnesemia S/S and treatment - ✔✔ lethargy, drowsiness, N/V, absent DTR, cardiac arrest
Tx: calcium gluconate
Hypomagnesemia S/S and Tx - ✔✔ tetny, increased DTR, arrhythmias
Tx: mag sulfate, mag gluconate
Normal albumin levels- up or down with age? - ✔✔ 3.7-5.1 (trends down with age) [Show Less]