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NCLEX > Lab Values > Flashcards

Lab Values Flashcards

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1
Q

Temperature

A

36-38 C

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2
Q

Complete Blood Count (CBC)

A 
HCT: M 40-50%, F 37-47% 
RBC: M 4.5-6.2, F 4.0-5.5
HGb: M 13.5-17.5, F 12-15.5
PLT: 150K-450K
WBC: 5K-10K
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3
Q

Blood Gas (ABG)

A 
pH: 7.35-7.45
HCO3-: 22-26
CO2: 35-45
PaO2: 85-100
SaO2: 95-100
BEL -3 to +3
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4
Q

Cardiac Function

A

CO: 3-6 L/min

Ejection Fraction: LV 55-70%, RV 45-60% (decreased = decreased cardiac output)

CVP: 2-8

BP: <120/80 and >90/60, stage 1 HTN >140, stage 2 HTN >160

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5
Q

Renal Function

A

BUN (assesses kidney function): 8-22

Creatinine (assesses GFR) 0.6-1.3

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6
Q

Blood Glucose

A

Glucose (fasting): 70-110
Glucose (random): 80-110

A1C: <6%
140-180 if on TPN

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7
Q

Serum Lipids

A

Cholesterol: <200
LDL 60-130
HDL (>45) 60 is good

Triglycerides: <150

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8
Q

Liver Enzymes

A

ALT (alanine aminotransferase): 10-25 (increased ALT indicates hepatic dysfunction and could be a side effect of Statins)

AST (aspartate aminotransferase): 8-38

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9
Q

Ammonia

A

35-65

product of protein metabolism

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10
Q

Bilirubin

A

Total: 0.1-1.2
Direct: 0.1-0.3
Unconjugated = Total - Direct

Newborns: 1-12

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11
Q

Normal Urinary output

A

0.5ml/kg/hr or 30ml/hr

720 ml/day

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12
Q

Blood Clotting Values

A

PT: 11-13.5 (Warfarin?)

aPTT: 25-35 seconds (60-80 after heparin)

INR: <1.1 (2-3 is therapeutic range for warfarin)

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13
Q

Troponin

A

<0.4

  • *if above, this indicates cardiac muscle damage
  • Raises 4-6 hours after MI onset
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14
Q

hBNP

A

<100 normal
>900 severe heart failure

blood test to determine severity of HF

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15
Q

D-dimer

A

0.43-2.33 mcg/ml

used to diagnose clots in the body

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16
Q

Uric Acid

A

3.5-7.5

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17
Q

Drugs

A

Lithium: 0.6-1.2, toxic if >1.5
Therapeutic = 1.0-1.5

Phenytoin: 10-20

Digoxin: 1-2, toxic if >2
Hold if pulse is <90-110bmp
Children hold if pulse is <70bpm

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18
Q

Sodium

A

135-145

Emergency below 120mEq/L (causes seizures and fluid restriction) = fluid overload

> 145 = dehydration

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19
Q

Potassium

A

3.5-5.3 mEq/L

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20
Q

Calcium

A

8.5-10.2 mg/dL

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21
Q

Chloride

A

95-105 mEq/L

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22
Q

Magnesium

A

1.5-2.5 mEq/L

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23
Q

Phosphorus/Phosphate

A

2.4-4.4 mg/dL

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24
Q

Blood RBC

A

4.5-5.0 million

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25
Q

WBC

A

4,000-10,000

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26
Q

Platlets

A

150,000-450,000/mm3

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27
Q

Hemoglobin Female

Hemoglobin Male

A

F: 12-15.5 g/dL
Can drop to 11 during pregnancy

M: 13.5-17.5 g/dL

28
Q

Hematocrit Female

Hematocrit Male

A

F: 37-47%

M: 40-50%

29
Q

Urine Specific Gravity

A

1.003-1.030

high = dehydrated
low = diluted
30
Q

BUN

A

6-20 mg/dL

31
Q

Lactate dehydrogenase (LDH)

A

100-190

32
Q

Creatinine

A

0.6-1.3 mg/dL

33
Q

HDL

A

30-70 mg/dL

34
Q

Cholesterol

A

<200

35
Q

Triglycerides

A

<150

36
Q

HDL

A

(>45) 60 is good

37
Q

LDL

A

60-130

38
Q

Cholesterol/HDL ratio

A

Desirables is 4.0

39
Q

Protein

A

6.2-8.1

40
Q

Albumin

A

3.5-5.0

Hypoalbuminemia is expected in liver cirrhosis

41
Q

Creatinine Phosphokinase (CPK)

A

21-232 (High = skeletal muscle damage)

42
Q

O2 Saturation

A

95-100%

Intervene is less than 90%

43
Q

Mean Arterial Pressure (MAP)

A

70-107 mmHg

65 mmHg is fine to profuse the body

44
Q

Central Venous Pressure (CVP)

A

2-8 mmHg

higher CVP=fluid volume overload

45
Q

HCO3

A

22-26 mEq/L
>26 = metabolic alkalosis
<22 = metabolic acidosis

46
Q

PaCO2

A

35-45 mmHg
>45 = resp acidosis
<35 = resp alkalosis

47
Q

PaO2

A

80-100 mmHg

48
Q

pH

A

7.35-7.45

49
Q

Neonate’s pulse (<4 weeks)

A

110-160bpm

50
Q

Erythrocyte Sedimentation Rate

A

<30 mm/hr

indicative of active inflammatory disease

51
Q

RBC in urine

A

0-4 per high power

52
Q

Brain Natriuretic Peptide (BNP)

A

<100 mg/mL

Indicative of acute heart failure

53
Q

Lactic Acid

A

0.5-2.2 mEq/L

Greater = inadequate oxygenation (when body breaks down lactate for energy) or the presence of shock

54
Q

Vancomycin Trough Level

A

10-20 mcg/ml

55
Q

Chest Tube Drainage

A

If drainage is > 100 mL/hr or if drainage becomes bright red all of a sudden call the physician.

56
Q

Neutrophil count

A

2200 to 7700 cells/mm3

57
Q

Normal BP

A

120/80 mmHg

58
Q

Abdominal Obesity

A

Women >35 inches

Men >40 inches

59
Q

Infant’s RR

A

30-60 breaths/min

60
Q

Infants HR

A

100-160 bpm

crying = 180?
sleeping = 80?
<60 deliver rescue breaths?
<60 after 2 mins CPR?

61
Q

PAWP (pulmonary artery wedge pressure

A

6-12 mmHg

increased = increased left ventricular preload (indicates left side HF)

62
Q

Neutrophilia

Leukopenia

A

?

63
Q

Intervention level for low platelet count

A

<50,000

64
Q

BMI

A

Underweight: <18.5
Normal: 18.5-24.9
Overweight: 25-29.9
Obese: 30-39.9

65
Q

Metabolic Acidosis Causes ? maybe edit

A

GI bicarbonate losses (diarrhea)

Ketoacidosis (diabetes, alcoholism, starvation)

Lactic Acidosis (Sepsis, hypo perfusion)

Renal Failure

NCLEX (7 decks)

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