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Flashcards in Chapter 55 Deck (33)
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1

Right Upper Quadrant Contains

- Most of the liver
- Gallbladder
- Duodenum
- Head of the pancreas
- Hepatic flexure of the colon
- Part of the ascending and transverse colon

2

Right Lower Quadrant Contains

- Cecum
- Appendix
- Right ureter
- Right ovary and fallopian tuve
- Right spermatic cord

3

Midline Abdomen Contains

- Abdominal aorta
- Uterus (if enlarged)
- Bladder (if distended)

4

Left Upper Quadrant Contains

- Left lobe of the liver
- Stomach
- Spleen
- Body and tail of pancreas
- Splenic flexure of the colon
- Part of the transverse and descending colon

5

Left Lower Quadrant Contains

- Part of the descending colon
- Sigmoid colon
- Left ureter
- Left ovary and fallopian tube
- Left spermatic cord

6

Calcium
(Level & Significance)

9.0 - 10.5 (values decrease in older adults)
Decreased values indicate possible:
Malabsorption, Renal failure, Acute pancreatitis

7

Potassium
(Level & Significance)

3.5 - 5.0
Decreased values indicate possible:
Vomiting, gastric suctioning, diarrhea, drainage from intestinal fistula

8

Albumin
(Level & Significance)

3.5 - 5.0
Decreased values indicate possible:
hepatic disease

9

ALT
(Level & Significance)

3 - 35 international units/L or 8 - 20 units/L
Increased values indicate possible:
Liver disease, hepatitis, cirrhosis

10

AST
(Level & Significance)

5 - 40
Increased values indicate possible:
Liver disease, hepatitis, cirrhosis

11

Total Billirubin
(Level & Significance)

0.1 - 1.0
Increased values indicate possible:
Hemolysis, biliary obstruction, hepatic damage

12

Direct Bilirubin
(Level & Significance)

0.1 - 0.3
Increased values indicate possible:
Biliary obstruction

13

Indirect Bilirubin
(Level & Significance)

0.2 - 0.8
Increased values indicate possible:
Hemolysis, hepatic damage

14

Ammonia
(Level & Significance)

15 - 110
Increased values indicate possible:
Hepatic disease such as cirrhosis

15

Amylase
(Level & Significance)

56 - 90
Increased values indicate possible:
Acute pancreatitis

16

Lipase
(Level & Significance)

0 - 110
Increased values indicate possible:
Acute pancreatitis

17

Cholesterol
(Level & Significance)

<200
Increased values indicate possible:
Pacreatitis, biliary obstruction

18

CA19-9
(Level & Significance)

<37 units/mL
Increased values indicate possible:
Cancer of the pancreas, stomach, or colon,
Acute pancreatitis, Inflammatory Bowel Disease.

19

Carcinoembryonic Antigen (CEA)
(Level & Significance)

Nonsmoker s disease, Hepatitis, Cirrhosis

20

Alkaline Phosphatase
(Level & Significance)

30 - 85 international units/L
42 - 128 units/L
Increased values indicate possible:
Hepatic disease, biliary obstruction

21

Prothrombin Time (PT)
(Level & Significance)

9 to 12 seconds
Increased in hepatic disease as vitamin K is not synthesized.

22

INR
(International Normalized Ratio)

1-2
2 - 3 desired therapeutic level with Coumadin

23

Hct
(Hematocrit)

Male: 42-52%
Female: 35-47%

24

Hgb
(Hemoglobin)

Male: 13-18 g/dL
Female: 12.0-16.0 g/dL

25

RBC (erythrocyte count)

Male: 4.3-5.9 million/mm3
Female: 3.5-5.5 million/mm3

26

Platelet Count

150,000-400,000/μL

27

WBC (leukocyte count)

5000-10,000/mm

28

BUN

6-20 mg/dL

High - CHF, kidney failure or disease, hypovolema
Low - liver problems, malnutrition

29

Creatinine

0.5-1.5 mg/dL*
C is removed entirely by the kidneys.
High means more C in blood because kidney function is abnormal and not removing it properly

30

Total Protein

6.4-8.3 g/dL*