Lab values / normal ranges Flashcards
When do you refer for anaemia
Hb < 90
not responding to treatment
what is normal Hb range
110 1st trimester/ 105 in 2nd and 3rd
140
what are normal ferritin levels
what levels indicate “absent iron stores”
what should be considered if ferritin very high (>100)
what is requirement to confirm ferritin levles
normal= >30
‘absent iron stores’ = <15
>100- check inflammation, organ disease
>
check absence of inflammation ( CRP>5 )
what is normal platelets level
what is level indicating possible PE / HELLP/ thrombocytopenia
normal >150
<100 could be PE/ HELLP/ thrombocytopenia
what is normal HbA1c level
normal = <40
41-50 = “prediabetic” - 1 week prick testing / do OGTT @24wks
>50 likely diabetic
what is diagnosis of GDM - GTT
OGTT-
Fasting BGL >5.5
2HR POST prantil> 9.0
What is diagnosis of GDM- polycose
> 7.8
What are normal lactates for fetal blood sampling
<4
how do we check for inflammation
CRP <5
Gold tube
Blood types
- which blood group can accept blood from anyone (universal recipient)
- which group can give blood to anyone (universal donor)
AB POS
O pos
what bilirubin level do you consult
> 250 (48hrs)
300 (anytime)
what bishop score indicates “unfavourable uterus”
<6
what is tested in bishops score
position
length
consistency
dilation
station (relative to spines)
what is tested in apgar score
appearance (colour) - blue + pale / body pink, limbs blue / all PInk
pulse- absent / <100 / >100
grimace (response to stimuli)- none / grimace / cry
activity (tone)- limp / some flexion/ active
respiratory effort -none / slow irregular / good, cry
what is normal range of neonatal BGL’s
BGL >2.6mmol
what is blue blood tube for
Coag screen
what is gold blood tube for
LFT + Rnl
CRP
Ferritin
B2
Viral studies (hepatitis syphylis, HIV)
What is lavender blood tube for
CBC (Hb, platelets, haemotocrit, HbA1c, kleihauer, ACTH)
What is haemotocrit
% of blood that is RBC’s
kleihauer test
indication tube colour positive value
indication- tests for presence of fetal cells in maternal serum
tube - CBC
positive = >6
What is fetal fibronectin
What is pink blood tube for
Group and Hold, cross match, Blood group, Antibody screen, Coombs
What is a coombs test
what colour tube
what is it - taken from cord bloods to test for presence of “foreign” antibodies
indication- maternal neg blood group / jaundice
Pink tube
cord bloods
NORMAL
cord lactates ≤ 4.1 mmol/ L (Rising lactates = fetal acidosis)
ph > 7.1 (note - LOW pH = acidity caused by excess CO2)