Labs

Question 1

What is the creatinine range?

Answer 1

0.6-1.3

Question 2

What does it mean if someone has a high creatinine?

Answer 2

some sort of kidney issue

Question 3

When is creatinine an issue?

Answer 3

if a pt. is going to get dye put in - like cardiac catheterization

Question 4

What is the normal INR range?

Answer 4

2-3

Question 5

What does INR monitor?

Answer 5

Coumadin therapy

Question 6

When is INR dangerous?

Answer 6

when it is >4

Question 7

You have a pt. that has an INR >4?

Answer 7

1. Hold Coumadin
2. Assess for bleeding
3. Give vitamin K
4. Notify HCP

Question 8

What is the normal range of potassium?

Answer 8

3.5-5.3

Question 9

You have a pt. that has a potassium of 3.3 what do you do?

Answer 9

1. Assess the heart
2. Give potassium
3. Notify HCP

Question 10

You have a pt. that has a potassium of 5.4-5.9, what do you do?

Answer 10

1. Hold potassium
2. Assess heart
3. Give kayexalate, D5W, insulin
4. Notify HCP

Question 11

You have a pt. that has a potassium >6, what do you do?

Answer 11

1. Hold potassium
2. Assess heart
3. Give kayexalate, D5W, insulin
4. Notify HCP
   STAT with rapid response!!!!!

Question 12

What is a normal range of pH?

Answer 12

7.35-7.45

Question 13

What is a dangerous pH?

Answer 13

6

Question 14

What do you do if your pt. has a pH of 6?

Answer 14

1. Assess vitals

2. Notify HCP IMMEDIATELY to treat underlying cause

Question 15

What is a normal range for BUN?

Answer 15

6-20

Question 16

You have a pt. that has a BUN of 23, what are you going to do?

Answer 16

Assess for dehydration

Question 17

What is a normal range for hemoglobin?

Answer 17

13.2-17.3

Question 18

If the pt. has a hemoglobin 8-11, what do you do?

Answer 18

Assess for malnutrition and/or anemia

Question 19

The pt. has a hemoglobin <8, what do you do?

Answer 19

2. assess for bleeding
3. Prepare to admin blood
4. Call doctor

Question 20

What is a normal range of bicarb?

Answer 20

22-26

Question 21

What is a normal range of CO2?

Answer 21

39-50

Question 22

The pt. has a CO2 that is 50 and COPD, what do you do?

Answer 22

Nothing, that is to be expected

Question 23

The pt. has a CO2 that is 50, what do you do?

Answer 23

1. assess respiratory
2. Do pursed lip breathing
3. Notify HCP if it does not resolve

Question 24

The pt. has a CO2 that is 60, what do you do?

Answer 24

1. Establish respiratory failure
2. Assess respiratory
3. Prepare for intubation and ventilation
4. Notify respiratory therapist (first) and doctor

Question 25

What is a normal range of hematocrit?

Answer 25

36-54

Question 26

The pt. has a hematocrit of 58, what do you do?

Answer 26

assess for dehydration

Question 27

What is a normal range of P02?

Answer 27

80-100

Question 28

The pt. has a P02 of 72, what do you do?

Answer 28

1. assess respiratory 2. Give them oxygen 3. Notify HCP

Question 29

When someone is hypoxic, which rate increases first?

Answer 29

heart rate

Question 30

The pt. has a P02 of 60, what do you do?

Answer 30

1. Establish respiratory failure 2. Through O2 on 3. Assess respiratory 4. Prepare for intubation and ventilation 5. Notify respiratory therapist (first) and doctor

Question 31

What is the normal range for O2?

Answer 31

93-100

Question 32

What 2 things invalidate an SaO2?

Answer 32

1. Anemia - falsely elevates it | 2. Dye procedure in the last 48 hours

Question 33

What is a normal BNP?

Answer 33

<100

Question 34

What is a normal range of sodium?

Answer 34

135-145

Question 35

If the sodium is high, what do you assess for?

Answer 35

dehydration

Question 36

If the sodium is low, what do you assess for?

Answer 36

overload

Question 37

If the pt. has an abnormal and change in LOC, what do you do?

Answer 37

TAKE ACTION

Question 38

What is the normal total white blood cell count?

Answer 38

4K-11K

Question 39

What does the absolute neutrophil count need to be above?

Answer 39

greater than 500

Question 40

What does the CD4 count need to be above?

Answer 40

200

Question 41

What does a low CD4, or <200, mean?

Answer 41

AIDS

Question 42

What do you do if you have low WBC, or neutrophils, or CD4?

Answer 42

1. Assess for signs of infection 2. Place on neutropenic precautions 3. Notify HCP

Question 43

What are neutropenic precautions?

Answer 43

1. A private room 2. Strict handwashing 3. Avoiding exposure to people are sick 4. Avoiding all fresh fruits, vegetables, and flowers 5. Ensuring that all equipment used with the client has been disinfected

Question 44

What is a range for platelets?

Answer 44

150K-400K