Lab Diagnostics Flashcards
HbA1c Levels for Diabetes
6.5 +
HbA1c Levels for Prediabetes
5.7 - 6.4
Fasting Glucose Levels for Diabetes
126 +
Fasting Glucose Levels for Prediabetes
100 - 125
ALT
specific for liver test, but also can be cause of heart and skeletal muscle damage
AST
indicates liver, heart, or skeletal muscle damage
ALP
from liver duct cells
could also indicate bone damage
Bilirubin
indicates loss of liver function
Troponin
specific for heart attack
Creatinine
determines kidney function
normal = 1
Double serum creatinine levels =
halving GFR
High Cholesterol
240 +
201-240 is borderline
High Density Lipoprotein Cholesterol
HDL-C
good cholesterol
transports cholesterol to liver
want >40
Low Density Lipoprotein Cholesterol
LDL-C
deposits cholesterol in vascular walls
want <100
Triglycerides count >500
pancreatitis
Comprehensive Metabolic Panel
CMP
testing determining liver function
Not measured by CMP or BMP
cardiac function
Elevated WBC count indicates…
infection
MCV
test for anemia
ESR/ CRP
indicates inflammation
Vit K dependent factors
2, 7, 9, 10
Coumadin/ Warfarin
Vit K antagonist
primarily affects factor 7
Heparin
antithrombin activator
primarily affects factors 2 and 10
monitored by aPTT
PT/INR
monitor coumadin therapy and liver function
Neutrophils
bacterial infection
Lymphocytes
viral infection
Eosinophils
allergies or worms
Polycythemia vera
very high RBC count
treated with therapeutic phlebotomy
Criteria for Anemia
HGB <12 in women
<13.5 in men
Microcytic Anemia
MCV <80
iron deficiency anemia
Normocytic Anemia
MCV 80 - 100
recent blood loss
anemia of chronic disease
renal failure
Macrocytic Anemia
MCV > 110
Vit B12 Deficiency
Mean Corpuscular Volume
MCV
average RBC size
anemia classification system
IgM indicates…
current or recent infection
acute
IgG indicates….
past infection
convalescent
Screens for Syphilis
RPR
VDL
Confirms Syphilis
FTA-ABS
MHA-TP
Confirms Lupus
anti-dsDNA
Anti-Sm
Screens using Antinuclear Antibody Test (ANA)
Lupus- 95%
Scleroderma- 60- 90%
Sjorgren’s Syndrome- 40-70%
Rheumatoid Arthritis- 25-30%
Bloodbank
store and test blood components
Indicates UTI
Leukocyte Esterase
protein, nitrite, blood