Labs Test 3

Question 1

Albumin

-Indication

Answer 1

1. Assess Nutritional status
2. Evaluate chronic illness
3. Evaluate Liver disease

Question 2

Albumin

-Normal Range

Answer 2

3.4-4.8 g/dl

Question 3

Albumin

-Increased in

Answer 3

1. Dehydration

Question 4

Albumin

-Decreased in

Answer 4

1. Malnutrition
2. Liver Disease
3. Inflammation
4. Increased blood volume
5. Increased loss (burns, hemorrhage)

Question 5

Albumin

-Implications

Answer 5

1. Assess nutritional status
2. Monitor for edema when levels are LOW
3. Assess tissue integrity and prevent skin breakdown
4. Encourage protein intake

Question 6

Pre-Albumin

-Indication

Answer 6

1. Evaluate nutritional status

2. Monitor parenteral nutrition

Question 7

Pre-Albumin

-Normal Range

Answer 7

12-42 mg/dl

Question 8

Pre-Albumin

-Increased in

Answer 8

1. Alcoholism
2. Chronic renal failure
3. Pt’s receiving steroids

Question 9

Pre-Albumin

-Decreased in

Answer 9

1. Malnutrition
2. Tissue necrosis
3. Liver disease
4. Acute phase inflammatory response
5. Chronic illness

Question 10

Pre-Albumin

-Implications

Answer 10

1. Assess nutritional status

Question 11

Anytime Plasma Glucose Level

-Indication

Answer 11

1. Screen for diabetes

Question 12

Anytime Plasma Glucose Level

-Normal Range

Answer 12

<200 mg/dl

Question 13

Anytime Plasma Glucose Level

-Increased in

Answer 13

1. Diabetes
2. Acute stress reaction
3. Severe liver disease
4. Pancreatitis
5. severe renal disease

Question 14

Anytime Plasma Glucose Level

-Decreased in

Answer 14

1. Hypoglycemia
2. Excess insulin
3. Cancer
4. Malnutrition
5. Alcohol use
6. Liver disease

Question 15

Anytime Plasma Glucose Level

-Implications

Answer 15

1. Assess nutritional status
2. Encourage proper body weight
3. Monitor BG

Question 16

Fasting Plasma Glucose Level

-Indication

Answer 16

1. Screen for Diabetes

Question 17

Fasting Plasma Glucose Level

-Normal Range

Answer 17

70-100 mg/dl

Question 18

Fasting Plasma Glucose Level

-diabetes indications

Answer 18

1. 100-126 mg/dl indicates pre-diabetes

2. >126 mg/dl indicates diabetes

Question 19

Fasting Plasma Glucose Level

-Implications

Answer 19

1. Medicate as ordered
2. Encourage diet evaluation and education
3. Monitor for hypoglycemia

Question 20

Oral Glucose Tolerance Test

-Indication

Answer 20

1. Screen for diabetes

Question 21

Oral Glucose Tolerance Test

-Normal Range

Answer 21

1. <200 mg/dl

Question 22

Oral Glucose Tolerance Test

-Diabetes indication

Answer 22

> 200 mg/dl indicates diabetes

Question 23

Oral Glucose Tolerance Test

-Implications

Answer 23

Encourage activity/exercise

Question 24

HbAlc

- Indication

Answer 24

1. Asses long-term (2-3 months) glucose control

Question 25

HbAlc | -Normal Range

Answer 25

< 6%

Question 26

HbAlc | -Increased in

Answer 26

1. Increased in poorly controlled or uncontrolled diabetes

Question 27

HbAlc | -Implications

Answer 27

1. Educate regarding: | - Good glycemic control delays onset and slows progression of diabetic RETINOPATHY, NEPHROPATHY, & NEUROPATHY

Question 28

Liver Function Tests | (ALT, AST, ALP, billirubin) - Indication

Answer 28

1. Assess liver function and damage

Question 29

Liver Function Tests | (ALT, AST, ALP, billirubin) - Positive in

Answer 29

1. Positive results indicates hepatitis infection

Question 30

Liver Function Tests | (ALT, AST, ALP, billirubin) - Implications

Answer 30

1. Encourage prevention of transmission | 2. Eliminate alcohol Ingestion

Question 31

Thyroid Antibodies | - Indications

Answer 31

1. Assist in diagnosis of Grave's disease

Question 32

Thyroid Antibodies | -Increased in

Answer 32

Increased in: 1. Chronic thyroiditis 2. Grave's disease 3. Pernicious anemia 4. Rheumatoid Arthritis

Question 33

``` Thyroid Hormones (T3 and T4) -Indications ```

Answer 33

1. Evaluate hypothyroidism or hyperthyroidism | 2. Monitor response to therapy

Question 34

``` Thyroid Hormones (T3 and T4) -Increased in ```

Answer 34

1. Hyperthyroidism 2. Thyrotoxicosis 3. Excessive intake of iodine 4. Hepatitis

Question 35

``` Thyroid Hormones (T3 and T4) -Decreased in ```

Answer 35

1. Hypothyroidism

Question 36

``` Thyroid Hormones (T3 and T4) -Implications ```

Answer 36

1. Monitor for Hypo/Hyperthyroidism

Question 37

Thyroid Stimulating Hormone TSH | -Indication

Answer 37

1. Diagnosis of hypothyroidism or hyperthyroidism

Question 38

Thyroid Stimulating Hormone TSH | -Increased in

Answer 38

1. Primary hypothyroidism 2. thyroid hormone resistance 3. Thyroiditis

Question 39

Thyroid Stimulating Hormone TSH | -Decreased in

Answer 39

1. Excessive thyroid hormone replacement 2. Grave's disease 3. Primary hyperthyroidism 4. Secondary hypothyroidism

Question 40

Thyroid Stimulating Hormone TSH | -Implications

Answer 40

1. Recognize cause of hypothyroidism by comparing TSH level w/ T4 level

Question 41

``` Radioactive Iodine (RAI) Uptake Test -Indication ```

Answer 41

1. Evaluate Hyperthyroidism or hypothyroidism 2. Evaluate thyroiditis, Goiter, or pituitary failure 3. Monitor response to therapy for thyroid disease

Question 42

``` Radioactive Iodine (RAI) Uptake Test -Abnormal in ```

Answer 42

1. Decreased iodine intake 2. Increased iodine excretion 3. Graves Disease 4. Iodine deficient goiter

Question 43

``` Radioactive Iodine (RAI) Uptake Test -Increased in ```

Answer 43

Uptake in hyperthyroidism

Question 44

``` Radioactive Iodine (RAI) Uptake Test -Decreased in ```

Answer 44

1. Decreased uptake in hypothyroidism