Lab Values Flashcards
1
Q
level A
A
- abnormal do nothing
- low priority
2
Q
level b
A
- be concerned
- asses/monitor
- watch closer
3
Q
level c
A
- critical
- do something
- can leave bedside
- higher priority
4
Q
level d
A
- deadly/dangerous
- act now
- do not leave bedside
- highest priority
5
Q
serum creatinine
A
- shows kidney (renal) function
6
Q
serum creatinine range
A
- 0.6-1.2
7
Q
serum creatinine level
A
- at its highest this is A
- if they are going for a procedure with dye like cardiac cath, report at some point (not in the middle of the night)
8
Q
INR
A
- monitors warfarin
9
Q
INR range
A
- 2-3
10
Q
INR level
A
- anything 4+ is C
- hold coumadin
- assess for bleeding
- prepare to give vit k
- call doc
11
Q
Potassium range
A
3.5-5.3
12
Q
potassium level
A
- low or high is C
- 6+ is D
- if low: asses heart, prepare to give kt, call dr
- if high: hold k, assess heart, prepare to give kayexalate or D5 w/regular insulin, call doctor
13
Q
ph range
A
7.35-7.45
14
Q
PH level
A
- anything in the 6’s is D
- are they alive? check vitals and call doc
15
Q
BUN range
A
- 8-25
- memory trick: spells buns and buns come in pack of 8
16
Q
BUN level
A
- A
- assess for dehydration
17
Q
hemoglobin range
A
- 12-18
18
Q
hemoglobin level
A
- if 8 it is a B: assess for anemia/bleeding/malnutrition
- below 8 is a C: assess for bleeding, prepare to give blood, call doc
19
Q
bicarb range
A
- 22-26
- memory trick: 2+2+2= 6
20
Q
bicarb level
A
- A
- no one really cares
21
Q
co2 range
A
- 35-45
- memory trick: same as ph without the 7
22
Q
co2 level
A
- 46-59 is a C (will be dyspnic): assess respirations, do pursed lip breathing
- 60+ is a D= resp failure: assess respirations, prepare for intubation/ventilation, call respiratory therapy then the doctor
23
Q
po2 range
A
- 78-100
24
Q
po2 level
A
- low 70’s is C (will be restless, tachycardia, dyspnea): assess respiratory, prepare to give 02
- 60’s and lower is a D = respiratory failure: give 02, assess respirations, prepare for intubation/ventilation, call respiratory therapy, call dr
25
02 range
- 93-100
26
02 level
- <93 is a C: assess respirations, raise head of bed, give 02, unless it is a best question then give 02
- 02 can be false elevated with anemia
27
hematocrit range
- 36-54 (3x's the hgb)
28
hematocrit range
- 54+ is a B: assess for dehydration
29
BNP range
- indicator of CHF
- < 100
30
BNP level
- 100 + is a B
- look for signs of CHF
31
sodium range
- 135-145
32
sodium level
- B unless change in LOC then it is a C
- assess for dehydration or overload
33
platelets range
<90,000 is a c: bleeding precautions
- <40,000 is a D: thrommbocytopenia
34
RBC range and level
- 4-6 mil
- B
35
WBC
ANC
CD4
- 5,000-11,000
-500+
-200+
- less than normal for WBC, ANC, CD4 are all C
- low cd4= AIDS
- NEUTROPENIC PERCAUTIONS
36
Neutropenic precautions
- hand hygiene
- shower BID with antimicrobial soap
- avoid crowds
- private room
- limit number of staff entering room
- limit visitors for healthy adults
- no fresh flowers or potted plants
- low bacteria diet: no raw fruits, veggies, salads, no undercooked meat
- do not drink water that has been sitting longer than 15 minutes
- vitals (espc temp) Q 4
- check WBC daily
- avoid the use of indwelling catheter
- do not re use cups
- use disposable plates, cups, straws, plastic utensils
- dedicated items for the room: stethescope, bp cuff, thermometer, glvoes
- assess for infection
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