Lab Values Unit III Mine Flashcards
INR
Coumadin/Warfarin
0.8-1.1
High–> Coumadin/warfarin
Vit K def
Liver disease
Low–> too much Vit K
Antidote—Vitakmin K
PTT
Coumadin/Warfarin
60-70 seconds
High level–>cirrhosis
Vit K defic.
Clotting factor defic.
Low –>cancer
aPTT
Heparin
30-40 seconds aPTT high-->Heparin Low-->end stage cancer Clotting disorder Antidote---Protamine Sulfate
Na
136-145mEq/L
Potassium K+
3.5-5.0
Affects the heart beating
Chloride
98-106mEq/L
WBC
5,000-10,000
High–> infection
Low–> immune disorder
HCT
Males- 42-52%
Females 37-47%
High–> dehydration
Low –> blood loss, anemia
HGB
Males-14-18g/dL
Females 12-16g/dL
High–> dehydration
Low–> blood loss
PT
11-12.5 seconds
Low–> cirrhosis
Hepatitis
Clotting disorder
High–> drugs
bleeding disorder
Increase RBC
Platelet
150,000-400,000
High- polycythemia Vera
Low- bone marrow suppression
RBC
47-6.1 million
High–>. Hypoxia
Low–> anemia
Urinalysis
pH- 4.6-8.0 ( norm 6.0)
Protein– 0-8mg/dL
Specific gravity 1.005-1.030
None rest
BUN
10-20 mg
Decreased – over hydrated
Increased—- dehydrated
Creatinine
0.5-1.2
Total serum cholesterol
LDL
HDL
40 or higher
Triglycerides
Women
Daily cholesterol intake should be?
Less than 300
LDL-C
near or less than optimal
130-159–> borderline high advise to follow low fat diet- exercise- omega 3 - fiber
160– very high
Classification of HTN
Normal—> 160
> 100
Creatinine clearance test
Directly indicates glomerular filtration ability of kidneys. Normal values
107-149 mL/ min for men
87-107 mL/ min for women
Albumin
3.5-5.0g/dL
Decrease possible hepatic disease
If PT prothrombin time is also decrease with Amylase–>advanced cirrhosis
Serum Amylase
56-90 IU/L
Increased in pancreatitis
Alanine amino transferase ALT
5-35
Increased –> Hepatic disease–> liver disease’ hepatitis, and cirrhosis
Unconjugated (indirect) bilirubin
0.2-0.8
Increased –> Hepatic disease–> Possible- Hemolysis, Hepatic damage
Aspartate amino transferase AST
0–35
Increased–> Hepatic disease–> Liver disease, Hepatitis, cirrhosis
Serum lipase
0-110
Increased–> possible Pancreatitis
Ammonia
35-65
Increased–> possible Hepatic disease (liver destruction)–> cirrhosis
Cholesterol
possible–> Pacreatitis, Biliary obstruction
Decreased–> possible–> Liver cell damage
Heparin
Labs and antidote
aPPT
Antidote—PROTAMINE SULFATE
Fribrinolytics
Labs and antidote
PT, Fibrinogin level, aPTT, HCT
Antidote—Aminodoproic acid (Amicar)
Coumadin
Labs and antidote
PT
INR
Antidote—Vitamin K
Magnesium
1.3-2.1
Calcium
8.0-10.0
Platelets
140,000-400,000
Billirubin
0.2-1.4
RBC
4-5 million
B lymphocytes
10-20%
T lymphocytes
60-80%
CD4
Specific gravity
1.005-1.030
Urine pH
5.0-8.0
Uric acid
3.5-7.8
Increased– GOUT
Alkaline Phospatase
4.5-13
Liver enzyme
Elevated in hepatic dysfunction, Pagets disease & prostate cancer
Carbon dioxide
22-34
Lipase
7.0-60
Increased in pancreatitis
ABG’s
pH 7.35-7.45 PaO2 80-100 PaCO2 35-45 HCO3 22-26 SaO2 >95%
Trip onion
Norm. 1.4
Theophylline
5-20
BNP
Below 100 –no heart failure
100-300– suggest heart failure
900 & up—heart failure
Urine output
Norm 24 hr. 1500
Minimum should be 600 in 24 hr