Lab values

Question 1

Hemoglobin

g/dl

Answer 1

Male: 14-17 g/dL
Female: 12-16 g/dL

Elevated: Clogging of capillaries
Decreased: Heart failure, death

Protein contained in RBCs that deliver oxygen to tissues

Question 2

Normal WBC count

Answer 2

4000-11,000ul

Question 3

WBC deficits

Answer 3

> 11,000/mm3 Leukocytosis
<4,000/mm3 leukopenia
<1500/mm3 neutropenia

Question 4

Hematocrit

expressed in %

Answer 4

Male: 42-52%
Female: 37-47%

Elevated: >60% spontaneous blood clotting

Decreased: <15-20% cardiac failure/ death

Question 5

Platelets

Answer 5

150,000-400,000ul

Elevated: thrombocytosis/ thrombocythemia

Decreased: thrombocytopenia (bruising)

Question 6

INR

Answer 6

> 3.6 high risk of bleeds (proceed with caution)

> 4 HOLD PT

Question 7

LMWH

no lab tests required

Lovenox(enoxaparin), Fragmin (dalteparin)

Answer 7

<3 hrs DO NOT mobilize

> 5 hrs mobilize

Question 8

UFH (unfractured heparin)

heparin(IV), warfarin(PO)

Answer 8

> 48hrs mobilize

Question 9

NOAC

Xarelto (rivoxaban), apixaban (Eliquis)

Answer 9

> 3 hrs mobilize

Question 10

Coumadin

Answer 10

INR <2 no mobility
(clot risk)

> 4/5 hold PT (bleed risk)

Question 11

Is the pt anticoagulated?

No?

Answer 11

Do they have an IVC filter?
-If yes, mobilize
-If no, check w/ physician

Question 12

Platelet restrictions

Answer 12

<50k No MMT, no resistive exercise, AROM

20-35k Light exercise, no bicycle, treadmill, ADLs, NuStep, UE ergometer, ambulate as tolerable

<20k guarded therapy session. AAROM sitting and standing as tolerated (bleed/ bruise risk)