labs Flashcards
hct female
37-47 g/dl
hct male
42-52 g/dl
Hgb Female
15-16 g/dl
Hgb male
14-15 g/ dl
WBC
4,000-11,000/ microliter
Platlets
150,000-450,000/ micrloliter
K+
3.5-5 meq/L
Mag
1.5-2.5 meq/L
Ca++
8.5-10.5 mg/dl
Ionized Ca++
1.1-1.3 mmol/l (4.8-5.3 mg/dl)
Phos
1.8-2.6 meq/L
Cl-
100-108 meq/L
BUN
10-20mg/dl
Creatinine
0.6-1.3 mg/dl
Albumin
3.5-5.5 g/dl
PT
11-14 sec
PTT
21-34 seconds
INR
1
ACT
80-120 sec
FSP
Fibrin Split Products
< 10 u/dl
Fibrinogen
160-450 mg/dl
Plasminogen
62-130%
FDP
< 10u/ml
D-dimer
< 250 ng/dl
TSH
0.4 microunits/ml
T3
90-230 ng/dl
T4
13-15 u/dl
SGOT AST
< 35 IU/L
SGPT ALT
Serum Glutamate Pyruvate Transaminase. Alanine aminotransferase.
< 35 IU/L
AlkPhos
30-120 IU/L
Bilirubin
0-1mg/dl
Na+
135-145 meq/L
HCO3-
22-26 meq/L
Glucose
70-115 mg/dl
GFR
125 ml/min
What is R time ?
time to start forming clot
Normal R time
5-10 min
R time > 10 min indicates a problem with ______ and ____ should be given.
R time > 10 min indicates a problem with coagulation factors and FFP should be given.
What is K time
Time until clot reaches a fixed strength
Normal K time
1-3 min
K time > 3 min indicates a problem with _____ and should be treated with ______
K time > 3 min indicates a problem with fibrinogen and should be treated with Cryoprecipitate
What is the alpha angle?
Speed of fibrin accumulation
normal alpha angle
53-72 degrees
if Alpha angle is < 53 degrees that indicates there is a problem with ______ and _____ should be used to treat it
if the Alpha angle is < 53 degrees that indicate there is a problem with Fibrinogen and cryoprecipitate and platelets should be used to treat it
What is MA?
Maximum amplitude is the highest vertical amplitude of the TEG
(max strength)
Normal MA
50-70 mm
MA <50 indicates a problem with ____ and should be given ______
MA <50 indicates a problem with platelets and should be given platelets and or DDAVP
What is the LY30
Lysis at 30 minutes is the percentage of amplitude reduction 30 minutes after maximum amplitude
Normal LY30
0-3%
if Ly30 is >3% that indicates there is a problem with _______ and ______ should be given
if Ly30 is >3% that indicates there is a problem with excessive fibrinolysis and TXA or aminocaproic acids should be given
TEG-ACT normal
80-140 seconds
TEG-ACT > 140 seconds should be treated with ______
FFP
What is Teg-ACT
Activated clotting time; to initial fibrin formation
Rotem decision making
is clotting time prolonged? yes = give FFP or PCC(prothrombin complex concentrate)
no -> is maximum clot firmness too low? yes = check fibtem max clot firmness and platelet if available and give cryo if firmness is low and plat if plat are low and firmness is normal .
no -> is ly30 too high? yes = give TXA
Protein
6-8 g/dl
Normal SED rate male and female
Male; 0-22mm/hr
Female; 0-29 mm/hr
