ED Diagnostics Flashcards
(70 cards)
Calcium, carbon dioxide, chloride, glucose, potassium, sodium, BUN, creatinine
Chem 7 or 8, electrolyte panel, BMP (call it whatever you want)
What is in a Chem 8 that isn’t in a chem 7?
CALCIUM!
Use this when you suspect an issue with the kidneys, electrolyte imbalance, acid/base imbalance, blood glucose issues, calcium level imbalance
BMP
Significant changes in these test results can indicate acute problems such as kidney failure, insulin shock or diabetic coma, respiratory distress, or heart rhythm changes
BMP
Approximately 90% of cases of _______ are caused by malignancy or hyperparathyroidism
Hypercalcemia
If you see HIGH CO2, think….
Acidosis or possible ketoacidosis
Low K+ and high glucose?
Ketoacidosis
If you see low glucose, think ?
Diabetic insulin overdose or sepsis
If you see an elevated BUN and creatinine, think ?
Renal failure
If you see an elevated BUN and normal creatinine, think ?
Diureased
Everything in BMP PLUS albumin, alk phase, AST, ALT, Tbili, and total protein
Comprehensive metabolic panel
AST, ALT, alk phos, and total bilirubin make up which test?
Liver function test (LFTs)
Albumin and total protein assess ?
Nutritional status
If you see low albumin, think ?
Malnutrition
If you see increased alk phos, think ?
Gallstones
If you see increased AST, ALT, think ?
Hepatits
If you see increased total bilirubin, think ?
Cirrhosis, hepatitis
RBC count, WBC count, Hematocrit, hemoglobin, platelet count
CBC with diff
If you see low RBC, hemoglobin and hematocrit, think ?
Blood loss
If you see high RBC, hemoglobin and hematocrit, think ?
Hemoconcentration due to dehydration
If you see low platelets, think ?
Acute infection, bleeding, DIC, HELLP syndrome
Hemolysis, elevated liver enzymes, low platelet count
HELLP syndrome
What does the differential WBC break down the white blood cell count into?
Neutrophils (40-80%), lymphocytes (20-40%), monocytes, eosinophils, basophils
High neutrophils think ?
Acute bacterial infection
