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Nursing II Test 3 > Labs Test 3 > Flashcards

Labs Test 3 Flashcards

1
Q

Albumin

-Indication

A
  1. Assess Nutritional status
  2. Evaluate chronic illness
  3. Evaluate Liver disease
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2
Q

Albumin

-Normal Range

A

3.4-4.8 g/dl

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3
Q

Albumin

-Increased in

A
  1. Dehydration
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4
Q

Albumin

-Decreased in

A
  1. Malnutrition
  2. Liver Disease
  3. Inflammation
  4. Increased blood volume
  5. Increased loss (burns, hemorrhage)
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5
Q

Albumin

-Implications

A
  1. Assess nutritional status
  2. Monitor for edema when levels are LOW
  3. Assess tissue integrity and prevent skin breakdown
  4. Encourage protein intake
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6
Q

Pre-Albumin

-Indication

A
  1. Evaluate nutritional status

2. Monitor parenteral nutrition

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7
Q

Pre-Albumin

-Normal Range

A

12-42 mg/dl

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8
Q

Pre-Albumin

-Increased in

A
  1. Alcoholism
  2. Chronic renal failure
  3. Pt’s receiving steroids
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9
Q

Pre-Albumin

-Decreased in

A
  1. Malnutrition
  2. Tissue necrosis
  3. Liver disease
  4. Acute phase inflammatory response
  5. Chronic illness
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10
Q

Pre-Albumin

-Implications

A
  1. Assess nutritional status
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11
Q

Anytime Plasma Glucose Level

-Indication

A
  1. Screen for diabetes
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12
Q

Anytime Plasma Glucose Level

-Normal Range

A

<200 mg/dl

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13
Q

Anytime Plasma Glucose Level

-Increased in

A
  1. Diabetes
  2. Acute stress reaction
  3. Severe liver disease
  4. Pancreatitis
  5. severe renal disease
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14
Q

Anytime Plasma Glucose Level

-Decreased in

A
  1. Hypoglycemia
  2. Excess insulin
  3. Cancer
  4. Malnutrition
  5. Alcohol use
  6. Liver disease
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15
Q

Anytime Plasma Glucose Level

-Implications

A
  1. Assess nutritional status
  2. Encourage proper body weight
  3. Monitor BG
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16
Q

Fasting Plasma Glucose Level

-Indication

A
  1. Screen for Diabetes
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17
Q

Fasting Plasma Glucose Level

-Normal Range

A

70-100 mg/dl

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18
Q

Fasting Plasma Glucose Level

-diabetes indications

A
  1. 100-126 mg/dl indicates pre-diabetes

2. >126 mg/dl indicates diabetes

19
Q

Fasting Plasma Glucose Level

-Implications

A
  1. Medicate as ordered
  2. Encourage diet evaluation and education
  3. Monitor for hypoglycemia
20
Q

Oral Glucose Tolerance Test

-Indication

A
  1. Screen for diabetes
21
Q

Oral Glucose Tolerance Test

-Normal Range

A
  1. <200 mg/dl
22
Q

Oral Glucose Tolerance Test

-Diabetes indication

A

> 200 mg/dl indicates diabetes

23
Q

Oral Glucose Tolerance Test

-Implications

A

Encourage activity/exercise

24
Q

HbAlc

- Indication

A
  1. Asses long-term (2-3 months) glucose control
25
Q

HbAlc

-Normal Range

A

< 6%

26
Q

HbAlc

-Increased in

A
  1. Increased in poorly controlled or uncontrolled diabetes
27
Q

HbAlc

-Implications

A
  1. Educate regarding:

- Good glycemic control delays onset and slows progression of diabetic RETINOPATHY, NEPHROPATHY, & NEUROPATHY

28
Q

Liver Function Tests

(ALT, AST, ALP, billirubin) - Indication

A
  1. Assess liver function and damage
29
Q

Liver Function Tests

(ALT, AST, ALP, billirubin) - Positive in

A
  1. Positive results indicates hepatitis infection
30
Q

Liver Function Tests

(ALT, AST, ALP, billirubin) - Implications

A
  1. Encourage prevention of transmission

2. Eliminate alcohol Ingestion

31
Q

Thyroid Antibodies

- Indications

A
  1. Assist in diagnosis of Grave’s disease
32
Q

Thyroid Antibodies

-Increased in

A

Increased in:

  1. Chronic thyroiditis
  2. Grave’s disease
  3. Pernicious anemia
  4. Rheumatoid Arthritis
33
Q 
Thyroid Hormones (T3 and T4)
-Indications
A
  1. Evaluate hypothyroidism or hyperthyroidism

2. Monitor response to therapy

34
Q 
Thyroid Hormones (T3 and T4)
-Increased in
A
  1. Hyperthyroidism
  2. Thyrotoxicosis
  3. Excessive intake of iodine
  4. Hepatitis
35
Q 
Thyroid Hormones (T3 and T4)
-Decreased in
A
  1. Hypothyroidism
36
Q 
Thyroid Hormones (T3 and T4)
-Implications
A
  1. Monitor for Hypo/Hyperthyroidism
37
Q

Thyroid Stimulating Hormone TSH

-Indication

A
  1. Diagnosis of hypothyroidism or hyperthyroidism
38
Q

Thyroid Stimulating Hormone TSH

-Increased in

A
  1. Primary hypothyroidism
  2. thyroid hormone resistance
  3. Thyroiditis
39
Q

Thyroid Stimulating Hormone TSH

-Decreased in

A
  1. Excessive thyroid hormone replacement
  2. Grave’s disease
  3. Primary hyperthyroidism
  4. Secondary hypothyroidism
40
Q

Thyroid Stimulating Hormone TSH

-Implications

A
  1. Recognize cause of hypothyroidism by comparing TSH level w/ T4 level
41
Q 
Radioactive Iodine (RAI) Uptake Test
-Indication
A
  1. Evaluate Hyperthyroidism or hypothyroidism
  2. Evaluate thyroiditis, Goiter, or pituitary failure
  3. Monitor response to therapy for thyroid disease
42
Q 
Radioactive Iodine (RAI) Uptake Test
-Abnormal in
A
  1. Decreased iodine intake
  2. Increased iodine excretion
  3. Graves Disease
  4. Iodine deficient goiter
43
Q 
Radioactive Iodine (RAI) Uptake Test
-Increased in
A

Uptake in hyperthyroidism

44
Q 
Radioactive Iodine (RAI) Uptake Test
-Decreased in
A
  1. Decreased uptake in hypothyroidism

Nursing II Test 3 (8 decks)

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