Exercise Guidelines

Question 1

Normal total red blood cell (RBC) count for adult exercise:

• female?
• male?

Answer 1

• female: 4.1 to 4.9 million/mm^3

- male: 4.7 to 5.5 million/mm^3

Question 2

Normal hematocrit (Hct) count for adult exercise:

• female?
• male?

Answer 2

• female: 38-44%

- male: 43-49%

Question 3

Normal hemaglobin (HGB) count for adult exercise:

• female?
• male?

Answer 3

• female: 12.2-14.7 g/dL

- male: 14.4-16.6 g/dL

Question 4

Normal sedimentation rate (ESR) count for adult exercise:

• female?
• male?

Answer 4

• female: 1-25 m/hr (increases during pregnancy)

- male: 0-17 m/hr

Question 5

Normal total white blood cell (leukocyte) count for adult and child >2yr exercise?

Answer 5

4,500-11,000 / mm^3

4.5-11.0 x 10^3 /mm^3

Question 6

Protective isolation if adult or child >2yr total white blood cell (leukocyte) count is?

Answer 6

<1,000

Question 7

Levels for adult or child >2yr neutropenia:

• mild?
• moderate?
• severe?

Answer 7

• mild: 1,000 cells/uL
• moderate: 500-1,000 cells/uL
• severe: <500 cells/uL
  Use neutropenic precautions

Question 8

Normal platelet (thrombocyte) count for adult and child >1yr exercise?

Answer 8

150,000-350,000/uL (microliters)

Question 9

Levels for platelet (thrombocyte) count for adult and child >1yr:

• critical low?
• critical high?

Answer 9

• critical low: <20,000/uL (microliters)

- critical high: >1,000,000/uL (microliters)

Question 10

Urinalysis - Color

- normal?

Answer 10

Yellow-amber

Question 11

Urinalysis - Turbidity (clean/murky)

- normal?

Answer 11

Clear to faintly hazy

Question 12

Urinalysis - pH

- normal?

Answer 12

4.8-8.0

avg 5.5-6.0

Question 13

Urinalysis - Glucose

- normal?

Answer 13

None or <15 mg/dL

- glycosuria - high amount sugar in urine; possible causes diabetes, renal glycosuria

Question 14

Urinalysis - Ketones

- normal?

Answer 14

None

- high ketones may indicate diabetic ketoacidosis

Question 15

Urinalysis - Blood

- normal?

Answer 15

None
- hematuria has many possible causes- vigorous exercise, sexual activity, kidney or bladder cancer; inflammation of kidney, urethra or prostate; polycystic kidney disease PKD

Question 16

Urinalysis - Protein

- normal?

Answer 16

2-8 mg/dL

Question 17

Urinalysis - Bilirubin

- normal?

Answer 17

None

Question 18

Serum Electrolyte Level - Potassium K+

- normal?

Answer 18

3.5-5.3 mEq/L

Question 19

Serum Electrolyte Level - Sodium Na+

- normal?

Answer 19

136-145 mEq/L

Question 20

Serum Electrolyte Level - Calcium Ca2+

- normal?

Answer 20

8. 2-10.2 mg/dL

4. 5-5.5 mEq/L

Question 21

Serum Electrolyte Level - Magnesium Mg2+

- normal?

Answer 21

1. 8-3 mg/dL

1. 5-2.5 mEq/L

Question 22

Renal Function Blood Studies - Creatinine

• purpose?
• normal male?
• normal female?
• normal elderly?

Answer 22

• purpose: measures kidney function
• male: 0.6-1.2 mg/dL
• female: 0.5-1.1 mg/dL
• elderly: may be lower, age related decline, reduced muscle mass
• children: vary by age and sex

Question 23

Renal Function Blood Studies - BUN

• increase/decrease indicates?
• normal?
• elderly?

Answer 23

• increased indicates: hepatic or renal disease, dehydration, infection, steroid use, GI bleed
• decrease indicates: malnutrition, fluid volume excess, or severe hepatic damage
• normal: 10-20 mg/dL
• elderly: may be slightly higher

Question 24

Renal Function Blood Studies - BUN/Creatinine ratio

Answer 24

• BUN:Creatinine 10:1 to 20:1
• Increased ratio: fluid volume excess, malnutrition
• Decreased ratio: fluid volume excess, malnutrition
• No changes in ratio with increases in both BUN and creatinine indicates renal impairment