LAB Values & Levels

Question 1

PH

Answer 1

7.35-7.45
“As PH goes so goes my Pt.”
Category D: STAT, Stay w/ pt

Question 2

Bicarb (HCO3)

Answer 2

21-28
Category A

Question 3

K+

Answer 3

3.5-5
<3.5=C
–Assess heart/EKG
–Prepare to give K+ supplement
>5.3=C
–Hold K+ infusion
–Assess Heart/EKG
–Prepare give D5W w/ regular insulin & Kayelalate
–Notify HCP
K+>6=D
–May need to call RR

Question 4

Na+

Answer 4

136-145
-If Na high >145 assess for dehydration
-If Na low <135 assess for fluid ovreload

Question 5

Ca+

Answer 5

9.0-10.5

Question 6

PaCO2

Answer 6

35-45
In the 50’s=C
-Assess Resp./breathing
-Assist Pt. w/ pursed lip breathing
-Notify HCP if no improvement
**Category C: must do something Okay to leave bedside
In the 60’s+=D
-Assess Resp.
-Prepare for intubation/ventilation
-Notify Resp. therapy 1st then HCP
**Category D: STAT, Stay w/ pt

Question 7

PaO2

Answer 7

80-100
Less then 70 prepare O2
PaO2 <60=D
–Give O2
–Assess
–Prepare inhibition, Notify Resp therap (1st) then HCP

Question 8

SaO2

Answer 8

95-100%
O2 <93%= C
–Raise HOB (1st)
–Give O2 (best)

Question 9

Hgb

Answer 9

M: 14-18
F: 12-16
-If between eight-eleven: assess anemia, bleeding, malnutrition
Hgb >8=C
–Assess bleeding
–Prepare to administer blood
–Notify HCP

Question 10

Hct

Answer 10

M: 42-52%
F: 37-47%
Hct >54= assess for dehydration

Question 11

WBC

Answer 11

5,000-10,000
-If less then 5,000 then need private room, strict hand washing, shower BID w. antimirobial wash
-No crows/flower
-Water cant be standing alone for >15min
Below 200 have aids
Neutropenic precautions

Question 12

RBC

Answer 12

4.5-5.5

Question 13

PLT

Answer 13

150,000-400,000
Plt <90,000=C
–bleeding precaution
plt <40,000=D
–Notify HCP
–Plt infusion

Question 14

Serum Creatine

Answer 14

0.6-1.2
Kidney function
Only report abnormal level if pt. has procedure w/ dye

Question 15

INR

Answer 15

2-3
Monitor Coumadin (Warfarin) therapy
INR >4 =C

Question 16

BUN

Answer 16

10-20
Elevated BUN indicate dehydration

Question 17

BNP

Answer 17

<100 (less then 100)
-If above 100 assess s/s of CHF