Lecture eight- LABS Flashcards
a lab values are __ priority
low; you dont need to do anything
b lab values are ___ priority
low; abnormal, dont need to do anything just watvh
c lab values are ___ priority
high prioirty
d lab values are ___ priority
highest priority
serum creatine
lvl __
range
lvl a
.6-1.2
a pts creatine lvl is only a concern if a pt is about to have a ____
dye procedure
creatine monitors
kidney function
INR monitors
coumadin therapy; should be in 2’s and 3’s
INR
lvl __
lvl c if above 4
hold coumadin, assess for bleeding, administer vit k, call dr
K+ lvl c range
low <3.5
high >5
K+ lvl d range
> 6 STAT get help, stay w patient
lvl d labs the nurse cannot leave the ___
bedside
when K+ is high prep to administer these 3 drugs
kexalalate
D5
insulin
ph
lvl ___
lvl d if in 6’s
assess vitals and call dr
THEYRE DYING
BUN normal range
10-20
if BUN is elevated assess for
dehydration
Hemoglobin range
12-18 think puberty years
hemoglobin lvl B value
low 8-11
hemoglobin lvl c value
below 8 too low
assess for bleeding, prep blood, call dr
HCO3 range
22-26 lvl a
CO2 lvl c value if in
if in 50’s (high/acidotic)
assess resp, prepare pursed lip breathing
CO2 lvl d if in
60’s (very high) resp failure
medical emergency, prep to intubate/ventilate
Hematocrit range
lvl
36-54 (3x hgb)
lvl b (if elevated)
assess for dehydration
PO2 range
lvl
78-100 lvl c (if low 70-77) assess resp, O2, call dr lvl d if in 60s prep to intubate
2 signs of resp failure
co2 and po2 in 60s
prepare to intubate
O2 sat range
lvl
93-100%
lvl c if low
sao2 is invalid in ___ pts and pts who have had a ___ procedure in the last 48hrs
anemic pts, dye procedure
BNP is the best indicator of
CHF under 100
BNP lvl __
B if elevated
d labs (emergency)
ph in 6's K+ in 6's CO2 in 60's O2 in 60's PLT less than 40,000
NA+ range
lvl
135-145
lvl b
high assess for dehydration
low assess for fluid vol overload
NA+ is a lvl c
assess for altered LOC; safety issue
WBC range
lvl
5000-11000
lvl c if low
neutropenic precautions
ANC is
absolute neutrophils
ANC range
lvl
> 500
lvl c if low
CD4 value
lvl
> 200 aids vs HIV
lvl c if <200
Platelets lvl c and lvl d values
lvl c <90,000
lvl d <40,000
bleeding precautions
RBC range
lvl
4-6mill
lvl b
