Lab Values and Diagnostics Flashcards
Divisions of Clinical Lab
Chemistry
Hematology
Microbiology
Blood Bank
CBC (Complete Blood Count)
Hematology
WBC Count
Hemoglobin
Platelets
BMP (Basic Metabolic Panel)
Chemistry
Sodium, Potassium, Creatinine, Glucose
CMP (Complete Metabolic Panel)
Chemistry
Sodium, Potassium, Creatinine, Glucose
Microbiology
Sputum gram stain
Sputum Culture and Sensitivity
Pleural Fluid culture and sensitivity
Blood Bank
Blood Typing and storage
WBC/Leukocyte Life Span, Norma and Critical Values, Action
Life Span: 13-20 days
Normal Values: 5,000-10,000
Critical Values: <2,000 or >40,000mm3
Fight infections through phagocytosis
Granulocytes (WBC)
Neutrophils: 55-70%
-Bands: 3-5%
Eosinophils: 1-4%
Basophil: .5-1%
Agranulocytes (WBC)
Lymphocytes: 20-40%
Monocytes: 2-8%
Bands
Immature Neutrophils. Make up < 5% of circulating neutrophils normally
What is a “left shift”?
Increase in number of bands. Common with acute infection.
What is the function of neutrophils?
Locate, Ingest, and kill bacteria
High WBC count term and causes
Leukocytosis/Neutrophilia
Causes: Infection, trauma, stress, inflammation, tissue necrosis, leukemia
Low WBC count term and causes
Leukopenia/Neutropenic
Drug toxicity, chemo, bone marrow failure, infection, dietary or immunodeficiency
Interpreting CBC
- What is total WBC?
- If elevated over 11,000, what type of WBC is the culprit?
- Marked leukocytosis is usually due to neutrophils or lymphocytes
- If neutrophils are causing leukocytosis, compare neutrophil % to WBC
- The % of neutrophil indicates the severity of infection. The total WBC reflects the quality of the immune system.