Wound lab values Flashcards

1
Q

complete blood count

A

Common lab panel
Information on blood cells and oxygen carrying capacity

RBC - anemia
Hemoglobin - anemia
Hematocrit - anemia
White blood cells - infection
Platelet count

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2
Q

Clinical cluster for anemia

A

RBC
Hemoglobin
Hematocrit

decreased

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3
Q

hemoglobin normal range

A

14 to 17 g/dL males
12 to 16 g/dL females

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4
Q

high white blood cell count

A

Infection or significant inflammation

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5
Q

low platelet count

A

Reduce ability to clot or risk of bleeding

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6
Q

high platelet count

A

Infection or significant inflammation

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7
Q

erythrocyte sedimentation rate

A

nonspecific test for inflammatory disorders

May indicate cancer autoimmune disease or infection

Assess how quickly RBCs sink to the bottom of a test solution containing anticoagulated blood

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8
Q

c reactive protein

A

Used to detect early wound infections, inflammatory, bowel disease, auto immune conditions, and monitor response to anti-inflammatory treatments

Normally low within the blood, it is released by the liver in response to inflammation

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9
Q

Basic metabolic panel

A

provides insight into the bodies, chemical balance and metabolism, including health of the kidneys and liver

Glucose
BUN
Creatinine

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10
Q

glucose

A

Increased levels impairs healing >200

normal- <100
diabetes- >126

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11
Q

High glucose values

A

Impaired healing and risk of infection or abscess

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12
Q

spikes in glucose values

A

May indicate stress or infection

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13
Q

increased levels of BUN/ creatinine

A

impairs healing and increased edema

May note jaundice skin or sclera of eyes

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14
Q

Low levels of protein

A

Impaired healing and lack of granulation tissue development

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15
Q

Values of nutritional protein markers

A

total protein
Albumin
Prealbumin

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16
Q

Low levels of albumin

A

Result in edema

17
Q

pre albumin indicates

A

Sensitive indicator due to short half-life

18
Q

prothrombin time

A

Normal 11 to 13 seconds

Increased greater than 2.5 times the reference range results easy bleeding, and decreased ability to clot

19
Q

INR

A

normal-0.8-1.2
therapeutic range 2-3

Elevated levels greater than three - more likely to bleed with reduced hemostasis

Depressed levels less than two - more likely to risk of DVT

20
Q

platelet count

A

Low levels equals more likely to bleed with reduced hemostasis

21
Q

Three types of cultures

A

tissue biopsy
Needle aspiration
Swab culture

22
Q

tissue biopsy

A

Removal of rolling tissue with a scalpel or punch biopsy

Not within the physical therapy, scope of practice

Greater accuracy determining the bacterial source

23
Q

Needle aspiration

A

needle is inserted into the wound tissue to aspirate fluid

Not within our scope of practice

Greater accuracy in determining the bacterial source

24
Q

Swab culture

A

Cotton tip swap is used to collect fluid material

Within physical therapy, scope of practice

Less accurate and determining the bacterial source more likely to obtain surface contaminants

25
quantitative swab culture- Levine technique
Cleanse the world with sterile saline Locate area within the wound which has healthy tissue Rotate the cotton tipped applicator within 1 cm area Rotation press into bed to extract fluid