Labs Flashcards
Total Cholesterol Normal Level
Less than 200 mg/dL
Phosphorus Normal Range
3.0-4.5 mg/dL
Calcium Normal Range
9.0-10.5 mg/dL
Ammonia
is a byproduct of protein catabolism. It is normally converted into urea and excreted but in liver disease, ammonia is not converted and serum levels rise. A rise is toxic to the brain and can cause encephalopathy.
Dehydration
Results in hemoconcentration and an increased hematocrit. Serum sodium may increase or decrease. The BUN level may be elevated if renal perfusion is reduced.
Serum Protein Normal Levels
6.4-8.3 g/dL is normal.
Lactate in sepsis
is elevated due to low tissue perfusion and oxygenation.
Prothrombin time
Normal PT is 11-12.5 seconds. For pts on warfarin, the therapeutic level is 1.5-2 times the normal level.
Magnesium Normal Range
1.3-2.1 mEq/L
Sodium Normal Range
135-145 mEq/L
Potassium Normal Range
3.5-5 mEq/L
International Normalized Ratio
The normal INR range is 0.8-1.1. Pts requiring anticoagulation for afib have targeted INR range of 2-3.
Brain Natriuretic Peptide
BNP is a substance that opposes the action of aldosterone. When the ventricular wall is stretched during CHF, BNP is released. BNP causes vasorelaxation and inhibition of aldosterone, thereby lowering fluid volume and blood pressure
Myocardial Infarction Labs
Both troponin-1 and CK-MB levels are elevated after a myocardial infarction. BNP is released in response to ventricular stretch and is a good marker of CHF.
D-Dimer
Is used to help diagnose deep vein thrombosis
Amylase Normal Ranges
Is used to diagnose pancreatitis. The normal range is 25-120 units/L. Levels at least three times the reference range are indicative of acute pancreatitis.
CK-MM
elevated levels reflect skeletal muscle damage
Hypocalcemia (Low serum calcium levels)
can cause muscle twitching, spasms, petechiae, and tingling. The parathyroid hormone acts to increase serum calcium though the breakdown of bone. Removal of the parathyroid gland may cause this.
WBC Normal levels
Neutrophils should account for 55-70 percent of all WBC’s. Lymphocytes should account for 20-40 percent, eosinophils 1-4 percent, and basophils 0.5-1 percent, monocytes 2-8 percent.
Elevated Neutrophils
indicative of a bacterial infection
Hyperkalemia
elevated potassium levels (>5)
Patients with significant kidney disease
Hyperphosphatemia and Hypocalcemia
Elevated Eosinophils
indicating parasitosis. Also plays a role in allergic reaction and asthma.
Hemoglobin Normal Range
Males 14-18 g/dL and Females 12-16 g/dL
Creatinine Normal Range
0.5-1.4 g/dL
CO2 Normal Range
23-29 mEq/L
Hypoglycemic
Less than 70 mg/dL
Respiratory Acidosis
Respiratory system is the cause (hypoventilation), increase PCO2, decrease in pH, compensation kidneys reabsorb bicarb (HCO3)
Normal pH levels
7.35-7.45
Normal PaCO2
35-45 mm Hg
Normal PaHCO3
22-26 mEq/L
Metabolic Acidosis
is caused by loss of HCO3 or build up of acids (lactic acidosis, diarrhea, renal failure, ketones, ammonium intoxication). pH will be below normal and HCO3 is decreased. Compensation- hyperventilation to eliminate CO2
Respiratory Alkalosis
Caused by excessive ventilation. Decreased PaCO2 and increased pH. Compensation- kidneys secrete HCO3.
Metabolic Alkalosis
Acid loss from emesis, diuretics, or retention of HCO3 from medications, hyperaldosteronism. Increase in HCO3, and increased pH. Compensation- respiratory centers are not simulated, leading to hypoventilation and CO2 retention.
Oxygen-Hemoglobin Dissociation Curve Right (02 release)
Decreased pH, increased 2,3 DPG, Increased temperature, Decreased CO, and PCO2 increased.
Oxygen-Hemoglobin Dissociation Curve Left (02 Uptake)
Increased pH, decreased 2,3 DPG, lower temperature, increased CO, PCO2 decreased.
Normal WBC Range
4,000-10,000 cells/mm^2
HbA1C Normal Levels for Diabetic
Less than 7 percent to reduce microvascular complications of diabetes.
Normal BUN Range
10-20 mg/dL
Acute Renal Failure Lab Results
Elevated BUN and Creatinine is indicative of renal failure
Normal Platelet levels
150,000-400,000 cells/mm^3
Low Hemoglobin Levels
are indicative of chronic renal failure
aPTT Values with and without heparin
Normal aPTT w/o heparin is 30-40 seconds and a normal aPTT w/ heparin is 60-80 seconds.
Why is HbA1c levels monitored
It is done to monitor long-term control of blood sugar levels
Liver Disease causes
an elevation in liver enzymes such as alanine transaminase (ALT), aspartate transaminase (AST), and bilirubin. Liver disease also causes a reduction in plasma proteins and albumin production.
What causes jaundice
Increase in bilirubin.
Normal Lactate ranges
0.5-2.2 mmol/L. Elevated lactate is a sign of sepsis or tissue ischemia.
Normal Troponin ranges
0-0.03 ng/dL. Anything greater than 0.03 is indicative of a myocardial infarction.
Graves disease
Elevated thyroxine levels and diminished thyroid stimulating hormones are feedback of this disease
Hypoparathyroidism
in this disease uric acid and potassium concentrations are generally not affected but phosphorus levels are increased.
Elevated lymphocytes
is indicative of a viral infection
Hemolysis
is the destruction of RBC’s. The breakdown of hemoglobin in hemolysis results in bilirubin byproduct, which causes the increase within the blood. Bilirubin levels greater that 2.5 mg/dL will cause jaundice.
Normal Magnesium levels
1.3-2.1 mEq/L
Low Density Lipoprotein Normal Levels
Less than 130 mg/dL
Triglycerides Normal Levels
30-150 mg/dL