Lab values

Question 1

Optimal BP

Answer 1

<120/80

Question 2

high normal BP

Answer 2

130/85 to

139/89

Question 3

HTN stage 1, 2, 3

Answer 3

> 140/90
160/100
180/110

Question 4

Pre-eclampsia

Eclampsia

Answer 4

> 140/99 after week 20

>140/99 with grand mal seizures

Question 5

BP for kiddos
3-6
6-9
10-13
14-19

Answer 5

80/50 to 116/76
84/55 to 122/78
90/55 to 126/82
90/60 to 142/86

Question 6

heart rate

men, women

Answer 6

60-100

55-95

Question 7

respiratory rate

Answer 7

10-20

Question 8

SpO2 adult

critical value

Answer 8

95-100%

<75% (<88% is a significant drop)

Question 9

BMI

under, norm, over

Answer 9

under: <18.5
norm: 18.5-24.9
over: 25-29.9

Question 10

obesity BMI
I
II
III

Answer 10

I: 30-34.9
II: 35-39.9
III: >40

Question 11

glucose

critical values

Answer 11

norm: <200
CV men: <50 or >400
CV women: <40 or >400

Question 12

Signs of hyperglycemia

Answer 12

thirst, hunger, frequent urination, dry skin, nausea, diplopia, gradual onset
RISK OF DIABETIC COMA

Question 13

Signs of hypoglycemia

Answer 13

headache, nervousness, weakness, confusion, perspiration, lightheaded, hunger, incoordination, sudden onset
RISK OF INSULIN SHOCK

Question 14

Hemoglobin norms (g/dL)
critical values

Answer 14

Men: 14-18
Women: 12-14
CV: <5 or >20

Question 15

Hb therapy guidelines

Answer 15

> 10 resistive exercise ok
8-10 resistive as tolerated
<8 light exercise as tolerated
<7 exercise contraindicated

Question 16

s/s low Hb levels

Answer 16

pale, weak, diaphoretic, lightheaded, syncope, seizure, low urine output, sx of CVA/angina/MI, inc HR, RR

Question 17

Hct % norms

Answer 17

Men: 42-52
Women: 37-47

Question 18

Hct therapy guidelines

Answer 18

<25% no exercise
>25% light exercise
30-32% add resistive exercise as tolerated

Question 19

WBC (1000/mm3) norms

Answer 19

5-10k

Question 20

WBC therapy guidelines

Answer 20

<5 with fever - no!
>5 resistive exercise as tol
<2.5 light exercise as tol
<1 possible isolation for neutropenic precautions

Question 21

s/s high and low WBC

Answer 21

high: fighting illness
low: susceptible to infection

Question 22

platelets norms (1000/mm3)

Answer 22

150-400

Question 23

platelet therapy guidelines

Answer 23

150-450 no restrictions
50-150 PRE, swimming, low bench stepping, biking
30-50 AROM, mod exercise, walking, water tx
20-30 light ex, AROM only, water tx with MD approval
<20 AROM, ADLs walking with MD approval

Question 24

s/s low platelets

Answer 24

bleeidng, pallor, weakness

Question 25

INR norms

Answer 25

0.9-1.0

Question 26

CV INR

Answer 26

>5 risk of spontaneous bleed | <0.9 risk of DVT

Question 27

INR target for acute post thrombotic CVA DVT; mechanical heart valve

Answer 27

2-3 | 2.5-3.5

Question 28

therapy guidelines INR

Answer 28

not on anticoag: >2, check with MD, watch for bleeding >3 risk for hemorrhage, caution