HIV/Cancer Lab Values

Question 1

Healthy adult CD4 lymphocytes

Answer 1

800-1200 cells/uL

Question 2

Stage 1 HIV CD4 T cells

Answer 2

> 500

Question 3

Stage 2 HIV CD4 T cells

Answer 3

200-499

Question 4

Stage 3 HIV CD4 T cells

Answer 4

<200

Question 5

Normal WBC count

Answer 5

4,000-11,000/mm3

Question 6

Why would someone have decreased WBC

Answer 6

HIV infection, opportunistic diseases, or cART

Cancer: Impaired phagocytic action

Question 7

High viral RNA load for HIV

Answer 7

100,000 copies/mL or > = poor prognosis

Question 8

Low Viral RNA load for HIV

Answer 8

<5,000 copies/mL = limited disease progression

Question 9

Undetectable viral RNA load for HIV

Answer 9

<50 copies/mL

Question 10

Normal RBC values for men and women

Answer 10

Females: 3.8 - 5.1
Males: 4.3-5.7

Question 11

Normal hemoglobin levels for men and women

Answer 11

Females: 11.7-15.5
Males: 13.2-17.3

Question 12

Normal hematocrit levels for men and women

Answer 12

Females 35%-47%
Males 39%-50%

Question 13

Normal platelet levels

Answer 13

150,000-400,000

Question 14

Platelet count where thrombocytopenic precautions should be intitiated

Answer 14

<50,000

Question 15

Platelet count where pt may spontaneously bleed

Answer 15

<20,000

Question 16

WBC count indicating leukopenia

Answer 16

<4,000

Question 17

Normal neutrophil count

Answer 17

50% - 70% of all WBCs

Question 18

Normal ANC

Answer 18

1,500 - 4,500

Question 19

ANC indicating slight risk for infection

Answer 19

1,500-2,000

Question 20

ANC count indicating fairly low risk of infection

Answer 20

1,000-1,500

Question 21

ANC count where neutropenic precautions should be initiated

Answer 21

500-1000

Question 22

ANC indicating severe neutropenia, high risk for infection

Answer 22

<500

Question 23

Normal sodium values

Answer 23

136-145

Question 24

When would a pt have low sodium?

Answer 24

SIADH could cause it

Question 25

Normal potassium values

Answer 25

3.5-5

Question 26

When would a pt have altered potassium levels?

Answer 26

Many anti neoplastic (chemo) drugs increase potassium

Question 27

Normal total calcium values

Answer 27

9-10.5

Question 28

Normal ionized calcium levels

Answer 28

4.5-5.6

Question 29

Normal uric acid values for men and women

Answer 29

Females 2.7-7.3
Males 4-8.5

Question 30

What could cause alterations in uric acid levels

Answer 30

Metastatic cancer
MM
Chemo
Tumor lysis syndrome
(Need to protect kidneys)