Lecture eight- LABS

Question 1

a lab values are __ priority

Answer 1

low; you dont need to do anything

Question 2

b lab values are ___ priority

Answer 2

low; abnormal, dont need to do anything just watvh

Question 3

c lab values are ___ priority

Answer 3

high prioirty

Question 4

d lab values are ___ priority

Answer 4

highest priority

Question 5

serum creatine
lvl __
range

Answer 5

lvl a

.6-1.2

Question 6

a pts creatine lvl is only a concern if a pt is about to have a ____

Answer 6

dye procedure

Question 7

creatine monitors

Answer 7

kidney function

Question 8

INR monitors

Answer 8

coumadin therapy; should be in 2’s and 3’s

Question 9

INR

lvl __

Answer 9

lvl c if above 4

hold coumadin, assess for bleeding, administer vit k, call dr

Question 10

K+ lvl c range

Answer 10

low <3.5

high >5

Question 11

K+ lvl d range

Answer 11

> 6 STAT get help, stay w patient

Question 12

lvl d labs the nurse cannot leave the ___

Answer 12

bedside

Question 13

when K+ is high prep to administer these 3 drugs

Answer 13

kexalalate
D5
insulin

Question 14

ph

lvl ___

Answer 14

lvl d if in 6’s
assess vitals and call dr
THEYRE DYING

Question 15

BUN normal range

Answer 15

10-20

Question 16

if BUN is elevated assess for

Answer 16

dehydration

Question 17

Hemoglobin range

Answer 17

12-18 think puberty years

Question 18

hemoglobin lvl B value

Answer 18

low 8-11

Question 19

hemoglobin lvl c value

Answer 19

below 8 too low

assess for bleeding, prep blood, call dr

Question 20

HCO3 range

Answer 20

22-26 lvl a

Question 21

CO2 lvl c value if in

Answer 21

if in 50’s (high/acidotic)

assess resp, prepare pursed lip breathing

Question 22

CO2 lvl d if in

Answer 22

60’s (very high) resp failure

medical emergency, prep to intubate/ventilate

Question 23

Hematocrit range

lvl

Answer 23

36-54 (3x hgb)
lvl b (if elevated)
assess for dehydration

Question 24

PO2 range

lvl

Answer 24

78-100
lvl c (if low 70-77)
assess resp, O2, call dr
lvl d if in 60s 
prep to intubate

Question 25

2 signs of resp failure

Answer 25

co2 and po2 in 60s

prepare to intubate

Question 26

O2 sat range

lvl

Answer 26

93-100%

lvl c if low

Question 27

sao2 is invalid in ___ pts and pts who have had a ___ procedure in the last 48hrs

Answer 27

anemic pts, dye procedure

Question 28

BNP is the best indicator of

Answer 28

CHF under 100

Question 29

BNP lvl __

Answer 29

B if elevated

Question 30

d labs (emergency)

Answer 30

ph in 6's
K+ in 6's 
CO2 in 60's
O2 in 60's
PLT less than 40,000

Question 31

NA+ range

lvl

Answer 31

135-145
lvl b
high assess for dehydration
low assess for fluid vol overload

Question 32

NA+ is a lvl c

Answer 32

assess for altered LOC; safety issue

Question 33

WBC range

lvl

Answer 33

5000-11000
lvl c if low
neutropenic precautions

Question 34

ANC is

Answer 34

absolute neutrophils

Question 35

ANC range

lvl

Answer 35

> 500

lvl c if low

Question 36

CD4 value

lvl

Answer 36

> 200 aids vs HIV

lvl c if <200

Question 37

Platelets lvl c and lvl d values

Answer 37

lvl c <90,000
lvl d <40,000
bleeding precautions

Question 38

RBC range

lvl

Answer 38

4-6mill

lvl b