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NCLEX > Lab Values > Flashcards

Lab Values Flashcards

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1
Q

What is the range of serum creatinine?

What do you do outside of these ranges (i.e. what is the level)?

A

0.6-1.2

Level A - Abnormal

  • Do not have to do anything
  • Report when you can
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2
Q

What is the range of INR?

What do you if greater than 4?

A

2-3

Level C - Critical

  • Hold medication
  • Assess (focused)
  • Prepare to give
  • Call DR
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3
Q

What is the range of potassium?

What do you do if greater than 5.3?

What do you do if less than 3.5?

What do you do if more than 6?

A

3.5-5.3

Level C - Critical

  • Hold medication
  • Assess (focused) heart/ecg
  • Prepare to give d5w w insulin iv
  • Call DR

Level C - Critical

  • Assess heart/ecg
  • Prepare to provide K supplement

Level D - Deadly

  • Team work to (cannot leave PT):
    • Assess (focused) heart/ecg
    • Prepare to give d5w w insulin iv
    • Anticipate calling CCOT team
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4
Q

What is the normal pH range?

What to do if pH is in the 6 range?

A

7.35-7.45

Level D - Deadly

  • “As the pH goes down, so does my PT”
  • Assess vitals
  • Call DR
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5
Q

What the range of BUN?

What is the priority level of BUN?
What if it is elevated?

A

8-25
- Think 8 buns in a pack

Level A - Abnormal
- Just assess for dehydration

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6
Q

If they give you an elevated blood level, and you have no idea what it is, what should you guess?

A

Think dehydration - they go up because of concentration

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7
Q

What is the range of hemoglobin (Hgb)?

What if the range is lower (8-11)?

What if the range is below 8?

A

12-18

Level B - Be Concerned
- Assess for anemia, bleeding, or malnutrition

Level C - Critical

  • Assess bleeding
  • Prepare blood
  • Notify DR
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8
Q

What is the range of Bicarb?

What priority level is it?

A

22-26

Level A - Abnormal

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9
Q

What is the range of carbon dioxide?

What to do if high in the 50’s?

What to do if greater than 60?

A

35-45

Level C - Critical

  • Assess respiratory
  • Assist client with breathing
  • Call DR if no improvement

Level D - Deathly

  • Assess respiratory
  • Prepare to intubate
  • Call RT and then DR
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10
Q

What is the range of PO2?

What if it is less than 70?

What if it is less than 60?

A

78-100

Level C - Critical

  • Assess respirations
  • Prepare to give oxygen

Level D - Deathly

  • Give oxygen
  • Assess respirations
  • Prepare for intubation
  • Notify RT and DR
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11
Q

What is the range of O2?

What if it is less than 93?

What if the question asks for:

1) First
2) Best

A

93-100

Level C - Critical

  • Assess RR
  • Raise HOB
  • Give oxygen

Answer accordingly:

  • First = Raise HOB
  • Best = Give oxygen
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12
Q

What is the range of hematocrit (Hct)?

What if the range is past the high end?

A

36-54
- Hint: This is 3x the value of Hgb!

Level C - Critical
- Assess for dehydration

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13
Q

What are the 5 deadly d’s?

A
  1. Potassium greater than 6
  2. pH less than 6
  3. O2 < 60
  4. CO2 in the 60s
  5. Plt less than 40,000
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14
Q

What is the range of BNP?

What if the range is higher than the high end?

A

Less than 100

Level B - Be Concerned
- Assess for S/S of heart failure (CHF/AHF)

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15
Q

When someone is hypoxic, which rate increases first? RR or HR?

A

Heart rate
- Speeds up to compensate

When the heart can no longer compensate, RR goes up

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16
Q

What is the range of Na?

What level is abnormal ranges of Na? Unless…

A

135-145

Level B - Be concerned

  • High = dehydration
  • Low = overload

Unless… LOC decreases then Level C = Critical

17
Q

What is the Plt range?

What if it is less than 90,000?

What if it less than 40,000?

A

150,000 to 400,000

Level C - Critical
- Bleeding precautions

Level D - Deathly

  • Notify DR
  • Prepare for Plt transfusion
18
Q

What is the RBC range?

What level is abnormal ranges?

A

4-6 million

Level B - Be concerned

19
Q

What is the WBC range?

What level is abnormal ranges?

A

5,000-11,000

Level B - Be Concerned

  • If elevated, usually leukocytosis
  • If low, leukopenia, neutropenia, immunosuppression (private room, strict hand washing, shower BID with antimicrobial wash, NO crowds/flowers, fresh water only)
20
Q

When is O2 false?

A

In anemic PT’s and after using dye in procedures

21
Q

What is the absolute neutrophil (ANC) count range?

What level?

A

> 500

Level C - Critical
- Precautions (private room, strict hand washing, shower BID with antimicrobial wash, NO crowds/flowers, fresh water only)

22
Q

CD forecourt
- What do you have if above or below?

What level?

A

200

  • Less than 200 = Aids if lower
  • More than 200 = HIV

Level C - Critical
- Precautions (private room, strict hand washing, shower BID with antimicrobial wash, NO crowds/flowers, fresh water only)

NCLEX (1 decks)

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