Lab Values and Diagnostics Flashcards

1
Q

1) RBC Measures
- 2) Normal Range
- 3) Terms and Common Causes for High and Low

A

1) Total number of RBC per L
2) 4.5 - 5.9 (10*12/L)
3) Low RBC = Anemia (Blood loss, Bone Marrow disease, fatigue)

High RBC = Polycythemia (COPD, Severe Dehydration)

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2
Q

1) PT-INR Measures
2) Normal Range
3) Used in what drug therapy?

A

1) Prothrombin Time- International Normalized Ratio measures section of clotting cascade to diagnose potential for excessive bleeding or clotting.
2) 0.9 -1.1 Seconds
3) Used with Warfarin therapy (therapeutic range 2-3.5 times normal range)

Vit K is antidote to Warfarin

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3
Q

PTT

A

Partial Thromboplastin Time

23-32 Seconds

Used in conjunction with Heparin therapy where values should be between 35-80ish. Protamine is antidote

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4
Q

4 Kidney Function Test

A

ALT &; AST- Enzymes released from acute damage, numbers decrease over time.
Albumin- (low suggests liver damage) effect by nutritional status.
Bilirubin- created when liver breaks down old RBC. High is bad

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5
Q

Why use a Ultrasound

A

Soundwaves for real time images

Diagnosing DVT, fluid abnormality, abscess
Inspecting fetus, vessels
Doppler for pulses

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6
Q

Why use a CT scan?

A

Structure and function
Common for inspecting Brain and strokes

Spiral CT- pulmonary embolisms

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7
Q

When would C Reactive Protein be heightened?

A

During Acute Inflm (also Infection) will quickly decrease as inflm is reduced.

hepatic protein

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8
Q

When would Procalcitonin (PCT) levels be heightened?

Normal (=2mg/ml)

A

Infection- particularly systemic or after infc has entered the blood

Highly specific marker for clinically relevant bacteria (virus does not normally rise)

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9
Q

WBC Range

A

4-10.5 (10^9/L)

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10
Q

Lymphocyte Range

A

1-4 (prevalent in Viral Infections)

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11
Q

Glucose

A

3.9-11 (Blood sugar level)

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12
Q

Creatinine

Range?

What is it?

A

60-100umol/L

Comes from metabolism of creatine in muscle . Measure of Kidney fx. High means kidney not excreting properly.

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13
Q

GFR

A

Glomeral Filtration Rate >60ML/MIN

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14
Q

Sodium range

A

135-145 mmol/L

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15
Q

Hemoglobin

A

136-170g/L

Iron containing protein in RBC

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16
Q

Platelets range

A

150-400 (10^9/L)

measure of coagulation. Can be used for heparin/warfarin

17
Q

Potassium range

A

3.5-5 mmol/L

18
Q

Name hyper/hypo potassium cause + effect

A

Hyperkalemia- Causes- Excess free water loss, renal disease/failure, infection, K sparring drugs, over intake, diabetes

Hypokalemia- Cause- insufficient intake, excessive sweating, diarrhea, excessive alcohol use, kidney failure

19
Q

Name hyper/hypo Na cause + effect

A

Hypernatremia- excessive free water loss, sweating, Diabetics.

Hyponatremia- fluid volume overload, nutritional defecit, renal disease

20
Q

What is BUN?

A

Blood Urea Nitrogen- Urea is a nitrogenous waste from liver and should be excreted by kidney. IF high, kidney may be failing and liver dysfunctional