Lab Values

Question 0

Albumin

Answer 0

3.5-5.5

Deficit decreases oncotic pressure and fluid shifts from vascular area to tissue

Question 1

ABGs

Answer 1

pH 7.35-7.45
CO2 35-45
HCO3 22-26
O2 90-100

Question 2

Blood values

Answer 2

Males: Hematocrit 42-52%
Females: 35-45%
RBC: 4.6-6.2
WBC: 5,000-10,000
Hgb: 13-18 male, 12-16 female

Question 3

BUN

Answer 3

10-20

High value can cause confusion, disorientation, convulsions

Question 4

Calcium

Answer 4

9-10.5 mEq/dL

Question 5

Chloride

Answer 5

98-106 mEq/L

Question 6

Cholesterol

Answer 6

Total < 200

Tri 50

Question 7

Creatinine

Answer 7

0.5-1.2

Question 8

CVP

Answer 8

3-12 cm water pressure

Question 9

Fluid intake

Answer 9

1200-1500 ml in 24hr

Question 9

ESR

Answer 9

0-20 mm/h
Indicates inflammatory or degenerative tissue destruction; patient may have acute febrile disease and may therefore be somewhat lethargic, confused, and weak

Question 10

Intraocular pressure (IOP)

Answer 10

10-21 mm Hg

Question 12

Lecithin/sphingomyelin (L/S)

Answer 12

Ratio of 3:1: Lungs adequately developed but c section for preterm infants

Question 13

Magnesium

Answer 13

1.3-2.1mEq/L

Question 14

Neonate

Answer 14

Resp 30-50

Question 15

Phosphorous

Answer 15

3-4.5mEq/dL

Question 16

Platelet count

Answer 16

150,000-400,000

Question 17

Potassium

Answer 17

3.5-5 mEq/L
Found in intracellular fluid
Hypokalemia
Weakness, premature PVCs, bradycardia
Encourage foods high in potassium (avocados, broccoli, dairy products, dried fruit, cantaloupe, bananas)

Question 18

PT

Answer 18

Coumadin

Question 19

PTT

Answer 19

1.5-2x greater than normal

Heparin

Question 21

Sodium

Answer 21

136-145 mEq/L
Found in extra cellular fluid
Hyponatremia=net gain of water because it moves from ECF to ICF causing cells to swell
Confusion, Tacycardia, orthostatic hypotension, decreased DTRs, seizures
Administer hypertonic fluid, Restrict water, encourage high salt foods and fluids (cheese, milk)

Hypernatremia=loss of water
Confusion, tachycardia, orthostatic hypotension, decreased DTRs, thirst, oliguria, seizures
Administer hypotonic (.45%) or isotonic fluids (0.9%), encourage water, discourage sodium intake

Question 21

Troponin

Answer 21

0-0.3 normal

Question 21

Specific gravity

Answer 21

1.010-1.020

Low would be more concentrated

Question 22

Urine output

Answer 22

30 ml/hr

Question 24

Weight gain

Answer 24

Sodium
Notify doc
1-2 lb gain in 24 hr
3 lb gain in week

Question 25

Cullen’s sign

Answer 25

Bruising on flank

Acute pancreatitis