Interpretating Blood Tests Flashcards
What does ABG stand for?
Arterial Blood Gas
True or False: ABGs are used to assess oxygenation and acid-base status.
True
What is the normal range for arterial pH?
7.35 to 7.45
Fill in the blank: A pH less than 7.35 indicates __________.
acidosis
What does the PaO2 measure in an ABG?
Partial pressure of oxygen in arterial blood
What is the normal range for PaCO2?
35 to 45 mmHg
True or False: A high level of PaCO2 indicates respiratory alkalosis.
False
What is the primary function of electrolytes in the body?
To maintain fluid balance, muscle contraction, and nerve function
What does U+Es stand for?
Urea and Electrolytes
What is the normal range for serum sodium levels?
135 to 145 mmol/L
Fill in the blank: Hypernatremia refers to __________ sodium levels.
elevated
What is the normal range for serum potassium levels?
3.5 to 5.0 mmol/L
True or False: Hypokalemia can lead to cardiac arrhythmias.
True
What does LFT stand for?
Liver Function Tests
Which enzyme is commonly measured in LFTs to assess liver injury?
Alanine aminotransferase (ALT)
What is the normal range for ALT?
7 to 56 units/L
Fill in the blank: Elevated alkaline phosphatase levels may indicate __________.
cholestasis or biliary obstruction
What is the primary purpose of measuring bilirubin in LFTs?
To assess liver function and hemolysis
What is the normal range for total bilirubin?
0.1 to 1.2 mg/dL
True or False: A high level of creatinine indicates impaired kidney function.
True
What is the normal range for serum creatinine?
0.6 to 1.2 mg/dL
Fill in the blank: The anion gap is calculated to help determine the cause of __________.
metabolic acidosis
What is the formula for calculating the anion gap?
Na+ - (Cl- + HCO3-)
What does a high anion gap indicate?
Presence of unmeasured anions, often due to metabolic acidosis
What is the normal range for bicarbonate (HCO3-) in the blood?
22 to 28 mmol/L
True or False: Metabolic alkalosis is characterized by a high bicarbonate level.
True
What is one common cause of respiratory acidosis?
Chronic obstructive pulmonary disease (COPD)
What is the significance of measuring lactate levels?
To assess tissue hypoxia and lactic acidosis
What is the normal range for serum lactate?
0.5 to 2.2 mmol/L
Fill in the blank: A low albumin level can indicate __________.
liver disease or nephrotic syndrome
What does the term ‘hyperkalemia’ refer to?
Elevated potassium levels in the blood
What is one potential consequence of hyperkalemia?
Cardiac arrest
What is the role of calcium in the body?
Essential for muscle function, nerve transmission, and blood clotting
What is the normal range for serum calcium levels?
8.5 to 10.2 mg/dL
True or False: Hypocalcemia can cause muscle spasms and seizures.
True
What is the normal range for phosphate levels in the blood?
2.5 to 4.5 mg/dL
Fill in the blank: The presence of ketones in urine may indicate __________.
diabetic ketoacidosis
What does a low white blood cell count indicate?
Possible bone marrow dysfunction or severe infection
What is the normal range for white blood cells (WBC) in the blood?
4,500 to 11,000 cells/mcL
True or False: A high platelet count is called thrombocytopenia.
False
What does thrombocytopenia refer to?
Low platelet count
What is the normal range for platelets in the blood?
150,000 to 450,000 platelets/mcL
Fill in the blank: A complete blood count (CBC) includes measurements of __________.
red blood cells, white blood cells, and platelets
What does the term ‘hemoglobin’ refer to?
The protein in red blood cells that carries oxygen
What is the normal range for hemoglobin in adult males?
13.8 to 17.2 g/dL
What is the significance of measuring hematocrit?
To assess the proportion of blood volume that is occupied by red blood cells
What is the normal range for hematocrit in adult females?
36.1% to 44.3%
True or False: An elevated sedimentation rate (ESR) can indicate inflammation.
True
What does CRP stand for?
C-reactive protein
What is the normal range for C-reactive protein (CRP)?
Less than 10 mg/L
Fill in the blank: Elevated CRP levels indicate __________.
inflammation or infection
What is the purpose of measuring prothrombin time (PT)?
To assess blood coagulation
What is the normal range for prothrombin time?
11 to 13.5 seconds
True or False: APTT stands for activated partial thromboplastin time.
True
What is the normal range for activated partial thromboplastin time (APTT)?
30 to 40 seconds
What is the significance of measuring D-dimer levels?
To help rule out thromboembolic disorders
What does the term ‘hemolysis’ refer to?
Destruction of red blood cells
Fill in the blank: Hemolytic anemia is characterized by __________.
increased destruction of red blood cells
What is the normal range for serum glucose?
70 to 99 mg/dL
True or False: Hyperglycemia is defined as blood glucose levels above 126 mg/dL.
True
What is the significance of measuring triglycerides?
To assess risk for cardiovascular disease
What is the normal range for triglycerides?
Less than 150 mg/dL
Fill in the blank: A fasting lipid panel measures __________.
cholesterol and triglyceride levels
What does HDL stand for?
High-Density Lipoprotein
What is the normal range for HDL cholesterol?
40 to 60 mg/dL
True or False: LDL is known as ‘bad’ cholesterol.
True
What is the normal range for LDL cholesterol?
Less than 100 mg/dL
What is the purpose of measuring blood urea nitrogen (BUN)?
To evaluate kidney function
What is the normal range for blood urea nitrogen (BUN)?
7 to 20 mg/dL
Fill in the blank: A high BUN level may indicate __________.
kidney dysfunction or dehydration
Clinical Significance of albumin
- chronic liver disease
- protein loss through kidney or gut
ALP
- ALP is an enzyme found in the liver, bile ducts, and bone.
- usually used along side GGT
- often interpreted alongside GGT levels.
Alanine transaminase (ALT):
- ALT is an enzyme primarily found in the liver, and it plays a role in amino acid metabolism.
- more specific to liver than AST
- may indicate liver cell damage
AST
AST is an enzyme found in the liver, heart, muscles, and other tissues.
Can Laos reflect damage to the heart or muscles
LDH
plays a role in energy production.
- indicate tissue damage in the liver, muscles, heart, or lungs.
LDH
plays a role in energy production.