Course 5: ED course Flashcards
CBC
Complete Blood Count
WBC
White blood cells
Abnormal level:
High (Leukocytosis)
Infection
Hgb
Hemoglobin
Abnormal level:
Low
Anemia
Hct
Hematocrit
Abnormal level:
Low
Anemia
Plt
Platelets
Abnormal level:
Low (Thrombocytopenia)
Prone to bleeding
Differential
CBC with Diff
Bands
Band Cells
Abnormal level:
High (Bandemia)
Serious infection
Segs
Segmented Neutrophils
Abnormal level:
High (Left Shift)
Acute infection
Lymphs
Lymphocytes
Abnormal level:
High
Viral infection
Monos
Monocytes
Abnormal level:
High
Bacterial infection
Eos
Eosinophils
Abnormal level:
High
Parasitic infection
BMP
Basic Metabolic Panel,, Chem -7
Na
High (hypernatremia)
Low (hyponatremia)
Dehydration (both)
K
High (hyperkalemia)
Poor kidney function
Low (hypokalemia)
May cause arrhythmia
BUN
Blood Urea Nitrogen
High
Renal insufficiency or failure
Creat
Creatinine
High
Renal insufficiency or failure
Gluc
Glucose High (hyperglycemia) High blood sugar Low (hypoglycemia) Low blood sugar
HCO3-
Bicarbonate High (hypercarbia) Possible respiratory disease Low (hypocarbia) Hyperventilation (Possible DKA)
Cl-
High (hyperchloremia)
Possible dehydration
CMP
Comprehensive Metabolic Panel, Chem12
T Prot/Alb
Total Protein/Albumin
Low
Poor nutrition
T bili
Total bilirubin
High
Jaundice/liver failure
AST (SGOT)
Aspartate Transaminase
High
Liver damage
Alk Phos
Alkaline Phosphatase
High
Liver damage
ALT (SGPT)
Alanine Transaminase
High
Liver damage
Liver function tests
- AST (SGOT)
- ALT (SGPT)
- Alk Phos
CEP
Cardiac Enzyme Panel
Trop
Troponin
High
Specific to heart damage
CK
Creatine Kinase
High
Hear damage or Rhabdomyolysis
CK-MB
Creatine Kinase-Muscle Breakdown
High
Heart damage
CK-RI
Creatine Kinase Relative Index
High
Heart damage
Myo
Myoglobin
High
Heart damage
D-Dimer
Positive:
means there is a blood clot somewhere, not necessarily PE, follow up with a CTA Chest or VQ scan
Negative:
PE can be excluded from DDx
BNP
B-Type Natriuretic Peptide
High
CHF
ABG
Arterial Blood Gas Low pH Acidosis High/Low HCO3 Metabolic problem High/Low pCO2 Respiratory problems Low pO2 Hypoxia
VBG
Venous Blood Gas Low pH Acidosis High pH Alkalosis
Cardiac Order Set
- CBC
- BMP
- CK, CK-MB
- Troponin
- EKG
- CXR
CSF Analysis
Cerebrospinal Fluid Micro Analysis
CSF Gluc
Cerebrospinal Fluid Glucose
Low
Possible bacterial meningitis
CSF Prot
Cerebrospinal Fluid Protein
High
Possible Meningitis
CSF RBC
Cerebrospinal Fluid Red Blood Cells
>0 in Tube 4
Subarachnoid Hemorrhage (brain bleed)
CSF WBC
Cerebrospinal Fluid White Blood Cells
>3 in Tube 4
Possible Meningitis
CSF Gram Stain
Cerebrospinal Fluid Gram Stain
Positive bacteria
Likely bacterial Meningitis
COAGS
Coagulation Studies, Coumadin Level
PT
Prothrombin Time
High
Blood is too thin
INR
International Normalized Ratio
>3.0 (Supertherapeutic)
Too much Coumadin
PTT
Partial Thromboplastin Time
High
Blood is too thin
PT/INR
They are the same test, different representation of the results.
ENT labs
Ears, Nose and Throat Labs
Strep
Strep Rapid Strep Test
Positive
Strep Throat
Monospot
Mononucleosis test
Positive
Mononucleosis
Influenza A + B
Positive
“The FLu”
RSV
Respiratory Syncytial Virus
Positive
Likely Bronchitis
Lip
Lipase
High
Specific to pancreatitis
(the pancreas is the only organ that releases these enzyme)
Amy
Amylase
High
Possible pancreatitis
(the pancreas is not the only organ that releases this enzyme)
TSH
Thyroid Stimulating Hormone High Possible hypothyroidism Low Possible hyperthyroidism
T3
Triiodothyronine
Low
Hypothyroidism
T4
Thyroxine
Low
Hypothyroidism
CRP
C-Reactive Protein
High
Active inflammation in the body
ESR or Sed Rate
Erythrocyte Sedimentation Rate
High
Active inflammation in the body
HCG
Urine betaHCG Positive Pregnant Negative Not pregnant
Serum HCG Qual
Serum beta-HCG Qualitative Positive Pregnant Negative Not pregnant
Serum HCG Quant
Serum beta-HCG Quantitative Higher Further along in pregnancy Unchanged/lower Failed pregnancy
T+S/ABORh
Type and Screen/ Blood Type
- Rh Negative
- Needs RhoGAM shot if pregnant
T+X
Type and Cross
- Gets blood ready for transfusion
- Possible blood transfusion
Wet Prep
Vaginal Wet Mount
- Many Clue Cells
- Bacterial Vaginosis (BV)
- Many Trichomonas
- Trichomonas (STD)
- Many Yeast
- Vaginal Yeast infection
GC
Gonococcus
Positive
Gonorrhea (STD)
CT
Chlamydia Trachomatis
- Positiive
- Chlamydia (STD)
Genital Cx
Genital Culture
- Positive growth
- Pending results: ED will call pt if Cx is positive
Urine dip
Qualitative Urinalysis
Leuks
Leukocyte Esterase
- Positive
- Likely UTI
Nit
Nitrite
- Positive
- UTI
Gluc
Glucose
- Positive (Glycosuria)
- UTI
Blo
Blood
- Positive (Hematuria)
- Kidney stone vs. UTI
Microscopic Urinalysis
Quantitative Microscopic Urinalysis
WBC- Urinalysis
White Blood Cells in urine
- > 6 (Pyuria)
- UTI
RBC- Urinalysis
Red blood cells in urine
- > 6 (Hematuria)
- UTI vs.kidney stone
Bact- Urinalysis
Bacteria
- Many
- UTI
Epi- Urinalysis
Epithelial cells
- Many
- Contaminated sample
CBC
-High WBC (Leukocytosis)
High Bands (Bandemia)
-Possible
Lactate
Lactic Acid
- High
- Sepsis or cell death in the body
Blood Cx
- Positive Growth
- Definitive sepsis
BCx
Blood Culture
- Positive growth
- Sepsis
UCx
Urine Culture
- Positive growth
- UTI
Wound Cx
Wound culture
-results pending
Stool Cx
Stool Culture
-results pending
ASA
Serum Acetylsalicylic Acid
- High
- Toxic ASA level
APAP
Serum Acetaminophen
- High
- Toxic tylenol level
EtOH
Serum Ethanol, alcohol
- High
- Alcohol intoxication
UTox
Urine Drug Screen
- Positive for Opiates, Cannabinoids, Cocaine, Methamphetamines, PCP
- Drug Abuse
Ketones
Serum Ketones
- Large
- Likely DKA
Accu-Chek
Finger-Stick Blood Glucose (FSBG)
-Less than 80 mg
more than 110mg
-Low or high blood sugar
Dilantin
Serum Phenytoin
- Low
- Subtherapeutic; at risk for Sz
INR
Coumadin level
- Low
- Subtherapeutic; at risk for clots
- High
- Supertherapeutic; risk for bleed
Dig
Digoxin
- Low
- Subtherapeutic; at risk for Afib
Tegretol
Serum Carbamazepine
- Low
- Subtherapeutic; at risk for Sz