Lab Values Flashcards

1
Q

Potassium

A
  • 3.5-5
  • Functions
    • Neurotransmission
    • Heart funcion
    • Muscle contraction
  • Food Sources
    • Avocado, bananas, cantaloupe, oranges, strawberries, tomatoes
    • carrots, mushrooms, spinach
    • Fish, pork, beef, veal
    • Potatoes
    • Raisins
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2
Q

Sodium

A
  • 135-145
  • Functions
    • body-water balance
    • Neuroconduction
    • Muscle contraction
  • Nutrition
    • Bacon, frankfurters, lunch meat
    • Butter, cheese
    • Canned food
    • Ketchup, mustard
    • Milk
    • Processed food
    • Snack foods
    • Soy sauce
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3
Q

Chloride

A
  • 95-105
  • Function
    • Acid-base homeostasis
    • Cellular metabolism
    • Neuronal firing
  • Hypochloremia
    • metabolic alkalosis
  • Hyperchloremia
    • Respiratory/metabolic acidosis
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4
Q

Calcium

A
  • 8.5-10.5+
  • Functions
    • Signal transduction
    • Muscle contraction
    • Neurotransmission
    • Vasodilation
    • Hormone secretion
  • Sources
    • Cheese, yogurt, milk
    • Collard greens, kale, rhubarb
    • Sardines, tofu
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5
Q

Phosphate

A
  • 3.0-4.5
  • Sources
    • Dairy products
    • Fish, pork, beef, chicken, organ meats
    • Nuts
    • Pumpkin, squash
    • Whole-grain breads and cereals
  • Hypophosphatemia
    • muscle and neurological dysfunction
    • disruption of muscle and blood cells due to lack of atp
  • Hyperphosphatemia
    • GI symptoms
    • Calcification of organs and soft tissue
    • decreased use of iron, calcium, magnesium and zinc
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6
Q

Magnesium

A
  • 1.5-2.5
  • Sources
    • Avocado
    • Canned white tuna
    • Cauliflower
    • Green leafy vegetables (broccoli, spinach)
    • Milk, yogurt
    • Oatmeal, wheat bran
    • Peanut butter, almonds
    • Peas
    • Pork, chicken, soybeans
    • Potatoes
    • Raisins
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7
Q

BUN

A
  • 6-20
  • Elevated levels
    • kidney dysfunction
    • Slowing of GFR
    • infection, GI bleed, dehydration, muscle breakdown
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8
Q

Creatinine

A
  • 0.6-1.3
  • Function
    • Measures renal function
    • efficiency of kidneys in breaking down creatinine phosphate
    • Increased levels indicate slowing of GFR
    • Avoid exercise for 8 hours and red meat intake for 24 hours before the test
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9
Q

Bilirubin

A
  • 0.2-1.2
  • Elevated levels (>12) indicate liver damage and often cause jaundice
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10
Q

Albumin

A
  • 3.5-5
  • Main protein in human blood plasma
  • Useful in assessing various disease states
  • Low albumin
    • Liver disease (hepatitis, cirrhosis)
    • Kidney disease (nephrotic syndrome)
    • Malabsorption (Crohn’s disease, Whipple’s disease, celiac sprue)
    • Malnutrition
  • High albumin
    • Dehydration
    • High protein diet
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11
Q

Total Protein

A
  • 6.4-8.3
  • Globulin
    • regulate immune system
  • Albumin
    • keeps fluid inside blood vessels
  • Elevated levels
    • burns
    • cirrhosis
    • dehydration
  • Decreased levels
    • liver disease
    • Malabsorption
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12
Q

AST and ALT

A
  • AST 10-30
    • cardiac tissue and hepatocellular cells
  • ALT 10-40
    • kidneys, heart, skeletal muscle
  • AST/ALT ratio
  • Elevated levels
    • liver disease (cirrhosis, hepatitis, pancreatitis)
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13
Q

WBC

A
  • 5000-10000
    • Neutrophils (50-70%)
    • Lymphocytes (20-40%)
    • Monocytes (4-8%)
    • Eosinophils (2-4%)
    • Basophils (0.5-1.5%)
  • “Shift to the left” means that increased number of neutrophils is present
    • associated w/ bacterial infection
  • “Shift to the right” means that there is an increase in normal number of nuclear segments (liver disease, down syndrome, anemia)
    *
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14
Q

RBC

A
  • Women - 3.5 - 5.5
  • Men - 4.3 - 5.9
  • Increased
    • polycythemia
  • Decreased
    • Bleeding
    • Dietary deficiencies
    • bone marrow failure
    • Anemia
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15
Q

Hemoglobin

A
  • Men - 13 - 17
  • Women - 12 - 16
  • Carries oxygen to tissues
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16
Q

Hematocrit

A
  • Women - 36-46%
  • Men - 41-53%
  • 3x value of hemoglobin
  • High values
    • polycythemia
  • Low values
    • anemia
    • hemorrhage
    • overhydration
17
Q

PT/PTT

A
  • PT - 10-14 seconds
    • Warfarin
    • value within 2 seconds of the control is normal
    • Diets high in green leafy vegetables can increase absorption of vitamin K, which shortens the PT
    • INR
      • 2-3 for standard warfarin therapy
      • 3-4.5 for high-dose warfarin therapy
  • PTT - 25-35 seconds
    • Heparin
    • draw sample 1 hour before next scheduled dose
    • value should be 1.5 - 2.5 times normal when on heparin
18
Q

Platelet Lab Values

A
  • 150k-400k
  • Can be used as a diagnostic tool for certain diseases
    • Cancer
    • Leukemia
    • Chemotherapy
    • Autoimmune disease
    • Thrombocythemia
19
Q

Bleeding Time

A
  • 2-7 minutes
  • Measures risk of bleeding and hemorrhaging
20
Q

pH - blood and urine

A
  • Blood - 7.35 - 7.45
  • Urine - 4 - 8
21
Q

pH - blood and urine

A
  • Blood - 7.35 - 7.45
  • Urine - 4 - 8
22
Q

Urine Specific Gravity

A
  • 1.003 - 1.03
  • High value indicates concentration w/
    • Glucose
    • proteins
    • white/red blood cells
    • crystals
    • Possible bacteria
    • dehydration
23
Q

Blood Glucose

A
  • 70 - 110
  • A1C - 4-6%
24
Q

Hemoglobin A1C

A
  • 4 - 6%
  • Measures BG control over past 2-3 months
  • Diabetic goal - 7%
25
Q

Cholesterol

A
  • Total - <200
  • LDL - <100
    • near optimal - 100-129
    • Moderate risk for CAD - 130-159
    • High risk for CAD - 160+
  • HDL (good)
    • Males - >40
    • Females - >50
  • Triglycerides - <150
26
Q

Triglycerides

A
  • <150
  • Fast for 12 hours
  • Avoid alcohol for 24 hours
  • High levels
    • DM2
    • Hypothyroidism
    • Liver/Kidney Disease
    • Diet
    • S/E of medications
27
Q

Troponin

A
  • Troponin T - < 0.1
  • Troponin I
    • normal - < 0.5
    • MI - > 2.3
  • Onset - 4 hours
  • Peak - 24 - 36 hours
  • Return to normal 5 - 14 days
28
Q

Myoglobin

A
  • Released during muscle tissue injury
  • Onset - 1-4 hours
  • Peak - 12 hours
  • Return to baseline - 24 hours
  • Elevated levels after 24 hours indicate reinfarction
29
Q

Creatine Kinase (CK-MB)

A
  • Diagnosis of cardiac muscle damage
  • Onset - 4-8 hours
  • Peak - 12-24 hours
  • Return to normal - 2-3 days
30
Q

CSF Lab Values

A
  • Pressure <20 cm H20
  • Clear/colorless
  • Proteins <40 mg/dl
  • Lactate Dehydrogenase - 10% of serum level
  • Cells - 0-5 small lymphocytes
  • Glucose - 40 - 70