Labs Flashcards
what are the 4 priority levels used when studying these cards?
a: abnormal but not a priority, don’t need to do anything about it, can wait until the Dr discovers it
b: abnormal, concerned, monitor
c: critical, do something about it, inform Dr
d: highest priority
what is the best indicator of kidney fnxn
- creatinine
what are the 4 steps to do if a lab level is priority lvl C
1) hold (whatever is applicable to the lab)
2) focused assessment
3) prepare to give (whatever would help)
4) call appropriate HCP
what is the normal creatinine lvl
0.6-1.2
what priority lvl is an abnormal creatinine
A
increased creatinine indicates?
- kidney disease
what is normal INR lvl
in 2s-3s
a INR lvl > or equal to 4 is what priority lvl?
C
what do you do if the INR lvl is > or equal to 4
- hold warfarin
- focused assessment, assess for bleeding
- prepare vitamin K
- call HCP
what is a normal potassium lvl
3.5-5.3 (or 5, Mark says NCLEX uses 5.3)
a potassium lvl greater than 3.5 is what priority lvl?
C
what do you do if a potassium lvl is >3.5
1) hold anything with potassium
2) assess heart
3) prep kayexelate and regular insulin
4) call Dr
a potassium lvl > or equal to 6 is what priority lvl?
D
what do you do if a potassium lvl is > or equal to 6
1) hold anything with potassium
2) assess heart
3) prep kayexelate and regular insulin
4) call Dr.
- do this STAT, have multiple people involved, do not leave bedside
what is normal pH lvl
7.35-7.45
a pH lvl in the 6s is which priority lvl?
D
what do you do if a pH is in the 6s
1) assess VS
2) call Dr ASAP
(orders will be related to treating underlying cause)
what is a normal BUN lvl
8-25
if a BUN is increased, what do you assess for?
- dehydration
(dehydration is often a good guess with questions about imbalances if you aren’t sure)
what is a normal hgb
- general: 12-18
a hgb of 8-11 is what lvl of priority?
B
what do you do with a hgb of 8-11
- assess for anemia or malnutrition
a hgb <8 is what lvl of priority?
C
what do you do with a hgb of <8
1) assess for bleeding
2) prep to admin blood
3) call Dr
what is a normal bicarb lvl
22-26
an abnormal bicarb is what lvl of priority?
A