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Stack #107700

QuestionAnswer
5000-10000/mm3 WBC
4.5 -5.5 mil RBC
12-16 g/dl HGB
35-55 % HCT
150000-400000/MM3 PLATELETS
135-145 mEq/l SODIUM
3.5-5 mEq/l POTASSIUM
95-105mEq/l Cl-
4.5-5.5mEq/l Ca++
1.5-2.5 mEq/l MAGNESIUM
8-20 mg/dl BUN
0.5-1.5 mg/dl Creatinine
3.5-5.0 g/dl Albumin
60-100 mg/dl FBS
pH 7.35-7.45
paC02 35-45 mm Hg
pa02 80-100 mg Hg
HCO3 22-26 mEq
Troponin < .03ng troponin t < .2 ng AMI, cardiac chest pain myocardial damage
PT 10-13 sec
PTT 60-70 secs
A1C glycosylated Hgb 5.5-9% of total Hgb nondiabetic 2-5% Diabetic Control 2.5-6% Diabetic Uncontrol over 8%
UA Color Light straw to dark amber appearance clear Odor Aromatic pH 4.5-8.0 SG 1.003-1.030 WBC 3-4 RBC 1-2
HCT INCREASE CHRONIC HYPOXIA, SEVERE DEHYDRRATION, BURNS
HCT DECREASE HEMORRHAGE, ANEMIA, CIRRHOSIS
HGB PARTIAL MEASUREMENT OF THE BODY'S OXYGEN CARRYING CAPACITY
HGB INCREASE HIGH ALTITUDES, COPD, CHF
HGB DECREASED HEMORRHAGE, CANCER, IRON DEFICIENCY ANEMIA
WBC DEFEND BODY AGAINST INFECTIONS
PRODUCED IN BONE MARROW WBC
WBC INCREASE INCREASE IN INFECTION, TRAUMA, STRESS, INFLAMMATION
WBC DECREASE DECREASE IN DRUG TOXICITY, AUTOIMMUNE DISEASE, BONE MARROW FAILURE
NEUTROPHILS INCREASE BACTERIAL INFECTION
MONOCYTES INCREASE RECOVERY OF INFECTION
LYMPHOCYTES FIGHTS CHRONIC BACTERAL AND ACUTE VIRAL INFECTION
RBC FUNCTION DELIVER OXYGEN TO CELLS
RBC INCREASE IN HIGH ALTITUDES, DEHYDRATION, SEVERE DIARRHEA
RBC DECREASE HEMORRHAGE, ANEMIA, CANCER PREGNANCY, AND CHRONIC ILLNESS
PLATELETS ARE ESSENTIAL FOR CLOTTING, CLUMP TOGETHER WITH VESSEL INJURY
PLATELETS INCREASE CANCER, TRAUMA, CIRRHOSIS
PLATELETS DECREASE HEMORRHAGE, LEUKEMIA, LIVER DISEASE, CHEMOTHERAPY
PT MEASURES CLOTTING ABILITY
WHEN GIVING COUMIDIN LOOK AT WHAT LABS PT AND INR
ALBUMIN DECREASE INDICATES PROTEIN MALNUTRITION, DECREASE IN HEALING
SODIUM DOES WHAT FLUID BALANCE, CONDUCTS NERVE IMPULSES
POTASSIUM DOES WHAT NEUROMUSCULAR IMPULSES, ACID BASE BALANCE, KIDNEYS SECRETE
CALCIUM DOES WHAT MUSCLE CONTRACTION, BLOOD COAGUALATION
CALCIUM STORED IN BONES, NERVE IMPULSES
MAGNESIUM NEUROMUSCULAR FUNCTION
SODIUM SOURCES TABLE SALT
CAUSES OF HYPONATREMIA INCREASED PERSPIRATION, DRINKING PLAIN WATER, GI SUCTION AND IRRIGATION WITH PLAIN WATER, POTENT DIURETICS, burns, inflammation
LOW SODIUM SIGNS AND SYMPTOMS LETHARGY, HYPOTENSION, VOMITING, OLIGURIA, CRAMPS
CAUSES OF HYPERNATREMIA DECREASED WATER INTAKE, DIARRHEA, IMPAIRED RENAL FUNCTION
SIGNS AND SYMPTOMS OF YPERNATREMIA EDEMA, DRY STICKY MUCOUS MEMBRANES, ELEVATED TEMP, FLUSHED SKIN, THIRST
CAUSES OF LOW POTASSIUM DIURETICS, BURNS, TRAUMA, COLITIS
CAUSES OF LOW POTASSIUM UNCONTROLLED DIABETES, EXCESSIVE PERSPIRATION, KIDNEY DISEASE
CAUSES OF LOW POTASSIUM KIARRHEA, VOMITING, GASTRIC SUCTION, CHF
S & S OF LOW POTASSIUM CARDIAC IRREGULARITIES, DYSPNEA, RESPIRATORY ARREST, DECREASED BP, DECREASED REFLEXES, V, FLATULENCE, MUSCLE DYSFUNCTION
Kt NI I&O, ORAL OR IV INTAKE OF Kt, EKG CHANGES, CHECK POT LEVEL, CHECK RENAL FUNC
EXCESSIVE CAUSES OF POTASSIUM INGESTION OF POT, RENAL FAILURE, DIURETICS, NaCl substitutes, chemo, gi bleeding, burns
S&S of increased pot level oliguria, nausea, weakness, diarrhes, cramps, cardiac dysrhythmias
calcium sources milk, chees, sardines, salmon
causes of low calcium massive infection, burns, acute pancreatitis,
S&S of hypocalcium cramps, tingling, numbness, hyperactive reflexes, cardiac dysrhythmias, trousseuau's sign
calcium nI teach proper use of antacids, teach proper use of laxatives
Excess Calcium causes excessive v-D ingestion, cacer, thiazide diuretics, prolonged bedrest, renal disease
S&S of excessive calcium renal calculi, anorexia, dehydration, wt. loss, EKG changes, deep bone pain, muscle weakness, flank pain, lethargy
NI for increase calcium increase mobility, diuresis, avoid large doses of V-D, adequate hydration
Cl- sources table salt
causes of low chloride decreased dietary intake, diarrhea, vomiting, gastric suctioning
S&S of low chloride depressed breathing, hypertonicity, agitation, edema, dyspnea, increased HR, HTN
Dehydration causes increase HR and Pulse
NI for Low Chloride salty broth, oral or IV chloride meds
Excessive Causes of Chloride dehydration, excessive ingestion of ammonium chloride
S&S of excessive chloride metabolic acidosis, tachypnea, weakness, decreased cognitive ability
NI for excessive Chloride assess respirations, assess neuro status, IV of Lactate Ringers
Magnesium is for neuromuscular function
Magnesium Value 1.7 mEz-2.3 mEq/L
Sources of Mg+ fruit, peas, beans, nuts
causes of hypomagnesemia vomiting, diarrhea, chronic alcoholism, impaired GI absorption
S&S of Hypomagnesemia disorientation, convulsion, hyperactive deep reflexes, tremors
NI for hypomagnesemia seizure precautions
causes for increase magnesiam-hypermagnesia chronic renal insufficiency, excessive magnesium containing antacids, dehydration
S&S of Hypermagnesia hypotension, respiratory paralysis
BUN decrease severe liver damage, low protein diet, overhydration, malnutrition, IV fluids(gluclose)
BUN increase dehydration; high protein intake, gi bleeding, prerenal failure, renal blood supply caused by CHF, DM, AMI, renal failure, diuretics, licorice, ATB, antihypertensive agents
creatinine increase acute and chronic renal failure, cancer ,hodgkins', leukemias
creatinine decrease pregnancy, eclampsia
FBS decrease hypoglycemic reaction insulin excess, cancer malnutrition, alcoholism, cirrhosis of the liver
FBS increase DM, diabetes acidosis, cushing's syndrome, AMI, stress burns, infections, renal failure CHF, hyperglycemia
albumin increase dehydration, exercise
albumin decreased chronic liver disease, malnutrition, starvation, HF, Chronic renal failure, Burns, SLE, malabsorption syndrome
ph less than 7.35 is acidosis
ph greater than 7.45 is alkalosis
A1C increase uncontrolled dm, hyperglycemia, alcohol ingestion, pregnancy , hemodialysis
A1C decrease anemias, thalassemia, long-term blood loss, chronic renal failure
PTT decrease extensive cancer
PTT increase factor deficiency, cirrhosis of the liver V-K deficiency, leukemias, malaria, heparin, salicylates
PT decreased Thrombophelebitis, mi, pulmonary embolism
PT increase liver diseases, chf, erythroblastosis fetalis, keukemias
respiratory acidosis paco2 goes up and ph goes down
respiratory alkalosis paco2 goes down and ph goes up
metabolic acidosis ph down and hco3 down
metabolic alkalosis phup and hco3 up
pac02 is not abnormal no respiratory dysfunction
resp alkalosis ph up
resp acidosis ph down
hco3 and ph same elevator metabolic problem
pao2 normal, mild hhpoxemia 80-100 mmHg, 70-80 mmHg
moderate hypox, severe hypox 60-70 mmHg , 60 or less
Created by: BALES2
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