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NS 238 > GI Lab Values > Flashcards

GI Lab Values Flashcards

1
Q

Hematocrit

A

42-52 male
36 - 48 female
Inc: stopped bleeding
Dec:anemia, cirrhosis, dietary

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2
Q

Hemoglobin

A

14 - 17.3 male
11.7 - 15.5 female
Inc: dehydration
Dec: anemia, cancer, hemorrhage, malnutrition, splenomeglia

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3
Q

Platelet Count

A

140 - 400
Inc: acute infections, anemias, cirrhosis, pancretitis, splenectomy, trauma, surgery
Dec: alcohol toxicity, aplastic anemaia, congenital abnormalities, drug toxicity, prolong hypoxia, iron-deficienty anemia, viral infection

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4
Q

RBC Count

A

4.21 - 5.81 male
3.61-5.11 female
Inc: anxiety or stress, dehydration, COPD with hypoxia and seconadry polycythemia, dehydration
Dec: chronic inflammatory diseases, ckd, hemorrhage, nutritional deficit, overhydration,

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5
Q

WBC Count

A

4.5 - 11.1
Inc: Leukocytosis, infections, appendicitis, parasitic infections
Dec: alcoholism, anemias, malnutrition, RA, SLE, viral infections

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6
Q

Ferritin

A 
20 - 250 males
10 - 120 Females (18 - 39 yr) 
12 - 263 Females 40+ yr	
Inc: alcoholism, breast cancer, hemolytic anemia, infection, inflammatory diseases, oral or parenteral admin of iron	
Dec:hemodialyis, iron-deficiency anemia
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7
Q

PT

A

10 to 13 seconds

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8
Q

PTT

A

25 - 35 seconds (1.5 to 2.5 times the normal if patient on heparin)

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9
Q

INR

A

0.9 to 1.1 for patients not receiving treatment anticoagulation therapy / 1.5 to 2.5 times longer than normal for those receiving anticoagulants
Want <2 regarding Cirrhosis

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10
Q

Potassium

A

3.5 - 5.3
Inc: excessive dietary intake, dehydration
Dec: decreased dietary intake, GI disorders (n/v), ascites

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11
Q

Calcium (total)

A
  1. 2 to 10.2

low: pancreatitis

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12
Q

Sodium

A

135 - 145

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13
Q

Lactose

A

normal: greater than 30
inconclusive 20 - 30
abnormal less than 20

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14
Q

Serum Carotene

A

Inc: DM, chronic nephritis
Dec: malabsorption syndrome

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15
Q

Vitamin A

A

30 - 120
Inc: DM, chronic nephritis, excessive intake
Dec: malabsorption syndrome

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16
Q

Ammonia

A

(used to measure effectiveness of lactulose and hyperalimentation)
15 - 60
Dec: liver damage

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17
Q

Bilirubin-conjugated

A

less than 0.3 mg/dL

Inc: obstructed jaundice, hepatic jaundice if unconjugated also high

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18
Q

Bilirubin-unconjugated

A

less than 1.1

Inc: Hemolytic jaundice, hepatic jaundice if conjugated also high

19
Q

Serum protein

A

6 to 8

Dec:malnourished patients, impaired wound healing

20
Q

Albumin

A

(liver probs, nutrition probs)
3.7 - 5.1 (20 - 40 yro)
decreases with age
Hepatitis: low

21
Q

ALT (SGPT)

A

19 - 36 (13 mo - 60 yr male)
24 - 36 (13 mo - 60 yr female)
13 -40 (61 - 90 yr male)
10-28 (61 - 90 female)
Inc: liver inflammations (hepatitis or mono)
Dec:exposure to some drugs (dig, erythromycin, gentamicin, meperidine, morphine, salicylates, etc.)

22
Q

AST (SGOT)

A

Male 20 - 40
Female 15 - 30
Older adult 10 - 35
Inc: damage to pancreas, liver, heart, kidneys, or skeletal muscles. Very elevated with pancreatitis, hepatitis, liver necrosis, and MI

23
Q

AST/ALT Ratio

A

2
Inc: alcohol abuse suspected
elevation indicates biliary pancreatitis

24
Q

Alpha fetal protein

A

<6.1

Inc: pregnant or liver cancer

25
Q

GGT

A

0-30 male, 0 - 24 female

26
Q

Amylase

A

30 - 140
Acute pancreatitis:inc
Chronic pancreatitis: slightly elevated or normal

27
Q

Lipase

A

0 - 60
Acute pancreatitis: Increased
Chronic pancreatitis: slightly elevated or normal

28
Q

BUN

A

8 - 21

Inc: GI bleeding

29
Q

Creatinine

A

0.51 - 1.21

Dec: acute pancreatitis

30
Q

Gastrin

A

<100

Inc: chronic gastritis, gastric and duodenal ulcers

31
Q

CA19-9 (not used to diagnose but to monitor)

A

less than 35
Inc: pancreatic cancer, stomach cancer, acute pancreatitis, hepatitis, irrit. Bowel disease, cirrhosis, inflamm. Bowel disease

32
Q

Carcinoembryonic antigen (CEA) (not used to disagnose but to monitor)

A

<5 (smoker)
<2.5(nonsmoker)
Inc: pancreatic cancer, stomach cancer, acute pancreatitis, hepatitis, irrit. Bowel disease, cirrhosis, inflamm. Bowel disease

33
Q

Alkaline phosphatase (ALP)

A

Male 35 - 142
Female 25 - 125
Inc: metastatic cancer of the liver, biliary tract obstruction, cirrhosis
Chronic Pancreatitis: elevated

34
Q

Gamma-glutamyl transpeptidase (GGT)

A

0 - 30 male
0 - 24 female
detect disease of the liver or bile ducts, done along with liver enzymes

35
Q

Blood Glucose

A

65 - 99

36
Q

Ionized Calcium

A
  1. 64 - 5.28

low: acute pancreatitis

37
Q

Serum Triglycerides

A

<150

acute pancreatitis: low

38
Q

LDH

A

90-156, increased if >43 years old

39
Q

Magnesium

A

1.5 - 2.5

40
Q

pH

A

7.35 - 7.45

41
Q

PCO2

A

35 - 45

42
Q

HCO3

A

22 - 26

43
Q

Bilirubin (Total)

A

<1.2

NS 238 (7 decks)

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