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CPHN > Lab Test: Nut. Assessment > Flashcards

Lab Test: Nut. Assessment Flashcards

1
Q

albumin

normal range: ?

decreased: nephrotic syndrome, PEM, PTB, cancer, burns, prolonged fever, infections

increased: dehydration

A

3.5-5.5 g/dL

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2
Q

alkaline phosphatase

normal range: ?

decreased: hypoparathyroidism, low K diet, low dietary vitamin C, scurvy, celiac disease, excess vit. D, malnutrition, pernicious anemia, renal insufficiency

increased: liver and bone diseases, CHF, peptic ulcer/ulcerative colitis, hyperparathyroidism, calcium deficiency

A

20-72 u/L

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3
Q

ammonia

normal range: ?

decreased: -

increased: liver disease

A

<50 ug/dL

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4
Q

ascorbic acid

normal range: ?

decreased: vit. c deficiency, scurvy

increased: oxalate stone/elevated uric acid

A

0.2-1.5 mg/dL

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4
Q

bilirubin, total

normal range: ?

decreased: -

increased: hepatitis, biliary obstruction, drug toxicity, hemolytic disease, prolonged fasting

A

<0.1-0.3 mg/dL

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5
Q

bicarbonate

normal range: ?

decreased: diabetic ketosis, starvation, lactic acidosis, diarrhea with co2 loss, renal failure

increased: metabolic alkalosis, protracted vomiting with K+ loss, heart failure, edema

A

24-30 mq/L

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6
Q

blood urea nitrogen (BUN)

normal range: ?

decreased: hepatic failure, nephrosis, acute low protein intake, malabsorption

increased: GI bleeding, inadequate dialysis, malignancy, fever, hypercatabolism

A

5-25 mg/dL

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7
Q
A
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8
Q

calcium

normal range: ?

decreased: renal disease, hypoparathyroidism, chronic rickets, sprue/celiac disease, malabsorption

increased: hyperparathyroidism, multiple myeloma, osteolytic disease, immobilization, excess vitamin D

A

8.5-10.5 mg/dL

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9
Q

chlorides

normal range: ?

decreased: diabetic acidosis, k deficiency, addison’s disease

increased: renal insufficiency, nephrosis, fevers, dehydration

A

100-106 mEq/L

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10
Q

creatinine

normal range: ?

decreased: -

increased: muscle catabolism, myocardial infarction, acute/chronic renal disease, use of cephalothin, ibuprofen

A

0.7-1.5 mg/dL

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11
Q

c-reactive protein (CRP)

normal range: ?

decreased: -

increased: bacterial infectious diseases, inflammatory disorders, acute injury

A

<1.0 mg/dL

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12
Q

ferritin

normal range: ?

decreased: iron deficiency

increased: iron overload, transfusion, dehydration

A

30-250 mg/dL

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13
Q

globulin

normal range: ?

decreased: malnutrition

increased: infections, liver disease, leukemia, hyperlipidemia

A

2.3-3.5 g/dL

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14
Q

glucose

normal range: ?

decreased: hyperinsulinemia, pancreatic tumors, liver disease, pituitary dysfunction, malnutrition

increased: diabetes mellitus, pancreatic dysfunction, hyperthyroidism, malignancies, burns, cushing’s disease

A

70-100 g/dL

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15
Q

hematocrit

normal range: ?

decreased: anemia (sickle cell & iron deficiency), blood loss, uremia, vitamins b & c deficiency

increased: polycythemia vera, severe pancreatitis, dehydration

A

females: 37-47%

males: 45-52%

16
Q

hemoglobin

normal range: ?

decreased: prolonged iron deficiency, blood loss

increased: polycythemia vera, dehydration, chronic hypoxia, chronic lung disease, transplant rejection

A

females: 13.5-15 g/dL

males: 14-16 g/dL

17
Q

iron

normal range: ?

decreased: iron deficiency cirrhosis

increased: iron overload, hemolytic anemia, acute hepatitis, estrogen therapy

A

40-160 ug/dL

18
Q

lipase

normal range: ?

decreased: pancreas “burn-out”

increased: acute pancreatitis, biliary tract infection, renal disease

A

1.5 IU/mL

19
Q

lymphocyte count

normal range: ?

decreased: -

increased: malnutrition, impaired immune function

A

1500-4000/mm3

20
Q

magnesium

normal range: ?

decreased: PEM, malabsorption, diarrhea, vomiting, diabetic acidosis, CHF, renal failure w/o oliguria, hypercalcemia, pancreatitis

increased: oliguric renal failure, dehydration

A

1.4-2.3 mEq/L

21
Q

mean corpuscular volume

normal range: ?

decreased: chronic diseases, iron deficiency, polycythemia, lead poisoning, congenital spherocytosis

increased: macrocytic anemia/folate deficiency

A

81-100 ug

22
Q

phosphorus

normal range: ?

decreased: vitamin d deficiency, hyperinsulinism, hyperparathyroidism, osteomalacia

increased: renal insufficiency, hypoparathyroidism, nephritis, bone diseases

A

2.4-4.5 mg/dL

23
Q

potassium

normal range: ?

decreased: diuretic therapy, vomiting, diarrhea, malabsorption, hypomagnesemia, cushing syndrome, laxative abuse

increased: renal insufficiency, tissue catabolism, circulatory failure shock, addison’s disease, acidosis, dehydration hyperglycemia

A

3.5-5.0 mEq/L

24
Q

protein, total

normal range: ?

decreased: malnutrition, malabsorption, cirrhosis, steatorrhea, edema, nephrotic syndrome, chronic illnesses

increased:

A

6.8-4 g/dl

25
Q

prothrombin time

normal range: ?

decreased: none

increased: liver disease

A

10-13 seconds

26
Q

red blood cells (erythrocytes)

decreased: anemia, hemorrhage, chronic infectious diseases, iron deficiency

increased: polycythemia, dehydration, reduced plasma volume

A

4.5-5 million/mm3

27
Q

reticulocyte count

decreased: none

increased: reflects bone marrow activity

A

25,000 to 75,000 cells

28
Q

SGOT/aspartate transaminase

normal range: ?

decreased: pyridoxine deficiency, beriberi, possibly chronic dialysis

increased: burns, trauma, myocardial infarct, cirrhosis, neoplastic disease, infections

A

0-43 u/dl

29
Q

SGPT/alanine transaminase

normal range: ?

decreased: none

increased: cirrhosis, hepatitis, neoplastic disease

A

1-21 u/l

30
Q

sodim

normal range: ?

decreased: diabetic, acidosis, addison’s disease, diarrhea, burns, starvation, adrenal insufficiency, nephritis, hyperglycemia, hyperproteinemia

increased: dehydration, diabetes insipidus, steroid therapy

A

139-144 eq/l

31
Q

total iron binding capacity

normal range: ?

decreased: cirrhosis, malnutrition, collagen disease, chronic disease/infection, iron overload

increased: chronic iron deficiency, pregnancy, alcoholism, acute hepatitis

A

250-425 mg/dl

32
Q

transferrin saturation

normal range: ?

decreased: absolute or relative iron deficit

increased: hemolytic, megaloblastic and sideroblastic anemia, iron overload

A

20-50%

33
Q

triglycerides

normal range: ?

decreased: malnutrition, malabsorption

increased: liver disease, gout, pancreatitis, diabetes, steroid use, nephrotic syndrome

A

40-150 mg/dl

34
Q

uric acid

normal range: ?

decreased: high doses of salicylates, high BP triglycerides, arteriosclerosis

increased: gout, renal insufficiency, leukemia, hypoparathyroidism, starvation, anemia, myeloma, psoriasis, thiazide diuretics

A

2.0-5.5 mg/dl

35
Q

white blood cells

normal range: ?

decreased: chemotherapy

increased: leukemia, acute inflammation/infection, fever, anemia

A

4.5-10.5 thousand/mm3

36
Q

zinc

normal range: ?

decreased: hyperguesia, malnutrition

increased: none

A

101-130 ug/dl

CPHN (22 decks)

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