Patient prep Flashcards
Increased: GU2FT C2L3A5P2
GH Urea Urinary protein (Proteinuria) Fatty acid Testosterone lec.mt 04 |Page | 7 CPK (muscle) Creatinine (muscle) Lactate LH LD (muscle) ACP Aldolase (muscle) AST ALT Ammonia Pyruvate Prolactin
Decreased:
Glucose
Exercise
Increased: “LPP”
Lactate
Potassium
Phosphate
Fist clenching
"CA3PI2TG” Cortisol ACTH ACP lec.mt 04 |Page | 9 Aldosterone Prolactin Iron Insulin Thyroxine GH
Diurnal variation
Medications affecting plasma volume can affect protein, BUN, iron, calcium
Hepatotoxic drugs: increased liver function enzymes
Diuretics: decreased sodium and potassium
Drugs
Increased: “LAGIC” Lactate Albumin Glucose Insulin Cholesterol
Stress (anxiety)
Increases by 100-200μg/L/cigar
Ammonia
Increased: “THUG” Triglycerides Hypoglycemia (chronic alcoholism) Uric acid/Urates GGT
Alcohol ingestion
Increased: “TUNG2C3” Triglycerides Urea Nonesterified fatty acid Glucose GH Catecholamines Cortisol Cholesterol
Tobacco smoking (Nicotine)
Hemoconcentration Anaerobiosis Increased: “C2LEA2K” Calcium Cholesterol Lactate Enzymes Ammonia Albumin K+
Prolonged tourniquet app.
Decreased: Albumin (Fluid retention)
Prolonged bedrest
Increased: K+ (muscles)
Prolonged standing
Hemodilution Decreased: “TLC” Triglycerides Lipoproteins Cholesterol
Standing –>Supine
Hemoconcentration lec.mt 04 |Page | 8 Increased: “P(u)BLIC” Proteins BUN Lipids Iron Calcium
Sitting –> Supine
Vasoconstriction --> Reduced plasma volume Increased: “ECA” Enzymes Calcium Albumin
Supine –> Sitting/Standing
Preferred position
Patient should be seated/supine at least 20 mins before blood collection to prevent hemodilution or hemoconcentration
Upright/supine (lying) position