Lecture 20: Diagnostic blood chemistry Flashcards
What are the risk factors for angina?
Treatment of hypertension
Cessation of smoking
Weight reduction
Control diabetes
Regular physical activity
Cholesterol reduction - initiation of statin therapy
What is the result change value?
Result variability due to change
Analytical + biological variability
What is the RCV for cholesterol?
16%
What is the RCV for prostate specific antigen?
56%
What is the average first dose reduction following statins?
25%
What is the result of doubling statin dose?
Additional 10% reduction
How do the kidneys maintain the acid base balance?
Resorb HCO3- (PCT) and secrete H+ (DCT)
How do the lungs maintain the acid base balance?
CO2 removal shifts equation to Right with loss of H+ & HCO3-
How much acid is eliminated by kidneys every day?
40 nmol/day
How much CO2 is eliminated by lungs every day?
20000 nmol/day
What are the extracellular buffering systems?
Bicarbonate- and Na+
Albumin- and Na+
What are the intracellular buffering systems?
Haemoglobin- and K+
Muscle protein- and K+
What is the relationship between HCO3 and pCO2 in all simple acid base disorders?
They will move in the same direction
What is the compensatory response for metabolic acidosis?
Decrease in CO2
What is the compensatory response for metabolic alkalosis?
Increase in CO2