Lab Values

Question 1

What are the 7 areas/ systems effected by bed rest?

Answer 1

MM PP CH N

Musculoskeletal and metabolic/ endocrine/ electrolyte

Pulmonary and psychiatric

Cardiovascular

Hematologic

Nutrition

Question 2

Electrolyte panel, metabolic panel, kidney function, liver function/ hepatic panel, cardiac markers, lipid panel and complete blood count (CBC) are all examples of?

Answer 2

Common screening profile seen in acute care settings

Question 3

What are normal pH values?

Answer 3

7.35- 7.45

Question 4

Normal range for WBC? Leukopenia? Leukocytosis?

Answer 4

4500-11000

Leukopenia (decreased) less than 4000

Leukocytosis (elevated) above 11000

Question 5

Normal platelet ranges?

Answer 5

150,000- 400,000

Question 6

Normal hemoglobin range for men and women?

Answer 6

Men: 14.4- 16.6

Women: 12.2 - 14.7

Question 7

If hemoglobin is 8-10 you should monitor? If 5-8 therapy may be? Less than 5?

Answer 7

8-10 should monitor vitals closely when treating

5-8 therapy may be contraindicated

Less than 5: do not treat, leads to heart failure and death

Question 8

If platelet count is 50k-140k what type of exercise is ok? (2)

Answer 8

Low intensity progressive resistive exercises (RPE) and aerobic exercise

Question 9

If platelet count is 30k-50k what type of exercise is recommended? (2)

Answer 9

AROM and walking

Question 10

If platelets are below 20K therapy may? No?

Answer 10

Therapy may be contraindicated

NO brushing of teeth

Question 11

At a platelet level below _ you are at risk of spontaneous bleeding, petechia, ecchymosis, and prolonged bleeding time.

Answer 11

Below 20K

Question 12

Irritability, lethargy, headache, tremors, muscle twitching, vertigo, tachycardia, and peripheral vasodilation are all symptoms of?

Answer 12

Respiratory acidosis

Question 13

What are the parameters for respiratory acidosis: pH, PaCO2, HCO3?

Answer 13

PH: less than 7.35

PaCO2: greater than 45 mmHg

HCO3 normal or greater than 27

Question 14

Convulsions, coma, numbness/ tingling, lightheadedness/ dizziness, sweating and palpitations are all signs of?

Answer 14

Respiratory alkalosis

Question 15

Parameters for respiratory alkalosis: pH, PaCO2, HCO3?

Answer 15

PH greater than 7.45

PaCO2 less than 35

HCO3 normal or greater than 27

Question 16

If _ is out of balance (either too low or too high) you are at increased risk for cardiac arrest?

Answer 16

Potassium

Question 17

What is PTT? It is used to detect abnormalities in? Used to monitor?

Answer 17

Partial Thromboplastin time

Used to detect abnormalities in blood clotting

Also used to monitor treatment effects/ levels of heparin

Question 18

If PTT is elevated, what should I PT do? Why?

Answer 18

Therapy is contraindicated (usually if above 2.5 but may vary depending upon facility)

Due to bleeding risk

Question 19

What is the normal blood glucose level?

Answer 19

70-100 pg/mL

Question 20

What happens if blood glucose gets too high? Low?

Answer 20

High- hyperglycemia

Low- hypoglycemia

Question 21

Blurry vision, rapid heart beat, sudden mood changes and nervousness, unexplained fatigue, pale skin, headache, hunger, shaking, sweating, difficulty sleeping, skin tingling and trouble thinking are all signs and symptoms of?

Answer 21

Hypoglycemia

Question 22

Polyphasic/ Hungry, polyuria, thristiness, fatigue, weight loss, fatigue, blurry vision, and nausea are all signs and symptoms of ?

Answer 22

Hyperglycemia