Lab Values

Question 1

level A

Answer 1

• abnormal do nothing
• low priority

Question 2

level b

Answer 2

• be concerned
• asses/monitor
• watch closer

Question 3

level c

Answer 3

• critical
• do something
• can leave bedside
• higher priority

Question 4

level d

Answer 4

• deadly/dangerous
• act now
• do not leave bedside
• highest priority

Question 5

serum creatinine

Answer 5

• shows kidney (renal) function

Question 6

serum creatinine range

Answer 6

• 0.6-1.2

Question 7

serum creatinine level

Answer 7

• at its highest this is A
• if they are going for a procedure with dye like cardiac cath, report at some point (not in the middle of the night)

Question 8

INR

Answer 8

• monitors warfarin

Question 9

INR range

Answer 9

• 2-3

Question 10

INR level

Answer 10

• anything 4+ is C
• hold coumadin
• assess for bleeding
• prepare to give vit k
• call doc

Question 11

Potassium range

Answer 11

3.5-5.3

Question 12

potassium level

Answer 12

• low or high is C
• 6+ is D
• if low: asses heart, prepare to give kt, call dr
• if high: hold k, assess heart, prepare to give kayexalate or D5 w/regular insulin, call doctor

Question 13

ph range

Answer 13

7.35-7.45

Question 14

PH level

Answer 14

• anything in the 6’s is D
• are they alive? check vitals and call doc

Question 15

BUN range

Answer 15

• 8-25
• memory trick: spells buns and buns come in pack of 8

Question 16

BUN level

Answer 16

• A
• assess for dehydration

Question 17

hemoglobin range

Answer 17

• 12-18

Question 18

hemoglobin level

Answer 18

• if 8 it is a B: assess for anemia/bleeding/malnutrition
• below 8 is a C: assess for bleeding, prepare to give blood, call doc

Question 19

bicarb range

Answer 19

• 22-26
• memory trick: 2+2+2= 6

Question 20

bicarb level

Answer 20

• A
• no one really cares

Question 21

co2 range

Answer 21

• 35-45
• memory trick: same as ph without the 7

Question 22

co2 level

Answer 22

• 46-59 is a C (will be dyspnic): assess respirations, do pursed lip breathing
• 60+ is a D= resp failure: assess respirations, prepare for intubation/ventilation, call respiratory therapy then the doctor

Question 23

po2 range

Answer 23

• 78-100

Question 24

po2 level

Answer 24

• low 70’s is C (will be restless, tachycardia, dyspnea): assess respiratory, prepare to give 02
• 60’s and lower is a D = respiratory failure: give 02, assess respirations, prepare for intubation/ventilation, call respiratory therapy, call dr

Question 25

02 range

Answer 25

• 93-100

Question 26

02 level

Answer 26

• <93 is a C: assess respirations, raise head of bed, give 02, unless it is a best question then give 02
• 02 can be false elevated with anemia

Question 27

hematocrit range

Answer 27

• 36-54 (3x’s the hgb)

Question 28

hematocrit range

Answer 28

• 54+ is a B: assess for dehydration

Question 29

BNP range

Answer 29

• indicator of CHF
• < 100

Question 30

BNP level

Answer 30

• 100 + is a B
• look for signs of CHF

Question 31

sodium range

Answer 31

• 135-145

Question 32

sodium level

Answer 32

• B unless change in LOC then it is a C
• assess for dehydration or overload

Question 33

platelets range

Answer 33

<90,000 is a c: bleeding precautions
- <40,000 is a D: thrommbocytopenia

Question 34

RBC range and level

Answer 34

• 4-6 mil
• B

Question 35

WBC
ANC
CD4

Answer 35

• 5,000-11,000
  -500+
  -200+
• less than normal for WBC, ANC, CD4 are all C
• low cd4= AIDS
• NEUTROPENIC PERCAUTIONS

Question 36

Neutropenic precautions

Answer 36

• hand hygiene
• shower BID with antimicrobial soap
• avoid crowds
• private room
• limit number of staff entering room
• limit visitors for healthy adults
• no fresh flowers or potted plants
• low bacteria diet: no raw fruits, veggies, salads, no undercooked meat
• do not drink water that has been sitting longer than 15 minutes
• vitals (espc temp) Q 4
• check WBC daily
• avoid the use of indwelling catheter
• do not re use cups
• use disposable plates, cups, straws, plastic utensils
• dedicated items for the room: stethescope, bp cuff, thermometer, glvoes
• ## assess for infection