Lab Values Flashcards
Temperature
36-38 C
Complete Blood Count (CBC)
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
Blood Gas (ABG)
pH: 7.35-7.45 HCO3-: 22-26 CO2: 35-45 PaO2: 85-100 SaO2: 95-100 BEL -3 to +3
Cardiac Function
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
Renal Function
BUN (assesses kidney function): 8-22
Creatinine (assesses GFR) 0.6-1.3
Blood Glucose
Glucose (fasting): 70-110
Glucose (random): 80-110
A1C: <6%
140-180 if on TPN
Serum Lipids
Cholesterol: <200
LDL 60-130
HDL (>45) 60 is good
Triglycerides: <150
Liver Enzymes
ALT (alanine aminotransferase): 10-25 (increased ALT indicates hepatic dysfunction and could be a side effect of Statins)
AST (aspartate aminotransferase): 8-38
Ammonia
35-65
product of protein metabolism
Bilirubin
Total: 0.1-1.2
Direct: 0.1-0.3
Unconjugated = Total - Direct
Newborns: 1-12
Normal Urinary output
0.5ml/kg/hr or 30ml/hr
720 ml/day
Blood Clotting Values
PT: 11-13.5 (Warfarin?)
aPTT: 25-35 seconds (60-80 after heparin)
INR: <1.1 (2-3 is therapeutic range for warfarin)
Troponin
<0.4
- *if above, this indicates cardiac muscle damage
- Raises 4-6 hours after MI onset
hBNP
<100 normal
>900 severe heart failure
blood test to determine severity of HF
D-dimer
0.43-2.33 mcg/ml
used to diagnose clots in the body
Uric Acid
3.5-7.5
Drugs
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
Sodium
135-145
Emergency below 120mEq/L (causes seizures and fluid restriction) = fluid overload
> 145 = dehydration
Potassium
3.5-5.3 mEq/L
Calcium
8.5-10.2 mg/dL
Chloride
95-105 mEq/L
Magnesium
1.5-2.5 mEq/L
Phosphorus/Phosphate
2.4-4.4 mg/dL
Blood RBC
4.5-5.0 million
WBC
4,000-10,000
Platlets
150,000-450,000/mm3
Hemoglobin Female
Hemoglobin Male
F: 12-15.5 g/dL
Can drop to 11 during pregnancy
M: 13.5-17.5 g/dL
Hematocrit Female
Hematocrit Male
F: 37-47%
M: 40-50%
Urine Specific Gravity
1.003-1.030
high = dehydrated low = diluted
BUN
6-20 mg/dL
Lactate dehydrogenase (LDH)
100-190
Creatinine
0.6-1.3 mg/dL
HDL
30-70 mg/dL
Cholesterol
<200
Triglycerides
<150
HDL
(>45) 60 is good
LDL
60-130
Cholesterol/HDL ratio
Desirables is 4.0
Protein
6.2-8.1
Albumin
3.5-5.0
Hypoalbuminemia is expected in liver cirrhosis
Creatinine Phosphokinase (CPK)
21-232 (High = skeletal muscle damage)
O2 Saturation
95-100%
Intervene is less than 90%
Mean Arterial Pressure (MAP)
70-107 mmHg
65 mmHg is fine to profuse the body
Central Venous Pressure (CVP)
2-8 mmHg
higher CVP=fluid volume overload
HCO3
22-26 mEq/L
>26 = metabolic alkalosis
<22 = metabolic acidosis
PaCO2
35-45 mmHg
>45 = resp acidosis
<35 = resp alkalosis
PaO2
80-100 mmHg
pH
7.35-7.45
Neonate’s pulse (<4 weeks)
110-160bpm
Erythrocyte Sedimentation Rate
<30 mm/hr
indicative of active inflammatory disease
RBC in urine
0-4 per high power
Brain Natriuretic Peptide (BNP)
<100 mg/mL
Indicative of acute heart failure
Lactic Acid
0.5-2.2 mEq/L
Greater = inadequate oxygenation (when body breaks down lactate for energy) or the presence of shock
Vancomycin Trough Level
10-20 mcg/ml
Chest Tube Drainage
If drainage is > 100 mL/hr or if drainage becomes bright red all of a sudden call the physician.
Neutrophil count
2200 to 7700 cells/mm3
Normal BP
120/80 mmHg
Abdominal Obesity
Women >35 inches
Men >40 inches
Infant’s RR
30-60 breaths/min
Infants HR
100-160 bpm
crying = 180?
sleeping = 80?
<60 deliver rescue breaths?
<60 after 2 mins CPR?
PAWP (pulmonary artery wedge pressure
6-12 mmHg
increased = increased left ventricular preload (indicates left side HF)
Neutrophilia
Leukopenia
?
Intervention level for low platelet count
<50,000
BMI
Underweight: <18.5
Normal: 18.5-24.9
Overweight: 25-29.9
Obese: 30-39.9
Metabolic Acidosis Causes ? maybe edit
GI bicarbonate losses (diarrhea)
Ketoacidosis (diabetes, alcoholism, starvation)
Lactic Acidosis (Sepsis, hypo perfusion)
Renal Failure
