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Labs NCLEX RN
Kaplan Basic Labs
| Question | Answer |
|---|---|
| Na | 135-145 High: dehydration, Cushings, DI, Low: burns, NVD, CHF, SIADH, nephritis |
| K | 3.5 - 5.2 High: oliguria, anuria, RF, acidosis, tissue dmg Low: VD, malnutrition, stress, injury, diuretics |
| Chl | 99 - 108 High: D, hyperNA, renal dz, dehydration, hyperventilation Low: prolonged V, burns, Ulcer Colitis, gastroenteritis, DM |
| Mg | 1.5 - 3.5 High: severe dehydration, renal failure, leukemia Low: malnutrition, cirrhosis, chronic D |
| BUN | 8-21 High: dehydration, impaired renal fxn, GI bleed, shock Low: starvation, liver dmg, celiacs, low protein diet, FVO, infancy |
| Cr | 0.6-1.2 High: renal failure, shock, UTO, lupus, acromegaly Low: MD, pregnancy, eclampsia, liver dz |
| Protein | 6 - 8 High: dehydration, chronic inflammation Low: FVO, hepatic insufficiency, malnutrition |
| RBC | 4 - 6 High: dehydration, etc Low: FVO, anemias, renal, hemorrhage, etc |
| WBC | 4 - 10 High: UTI, bac infection, toxic states, tissue dmg Low: typhoid fever, lupus, drug reaction, blood disorders |
| Platelets | 145 - 345 High: polycythemia Low: leukemias, aplastic anemias |
| Hbg | 12.5 - 16 High: dehydration, polycythemia, stress, burns Low: iron def anemia, cirrhosis, hemorrhage |
| Hct | 35 - 47.7 High: dehydration, hypovolemia, diarrhea, stress burns Low: acute blood loss, anemias, malnutrition, leukemia |
| Albumin | 3.5 - 5 High: dehydration, exercise Low: liver dz, malnutrition, D, burns, starvation |
| Pre-Albumin | 15 - 36 High: Low: |
| GFR | 0.5 - 1.2 High: Renal, |
| Phosphorus | 2.5 - 5 interpret w Ca High: ARF, CRF, cehmo, milk, laxatives, vit D, Low:malnutrition, ETOH withdrawal, antacids |
| Total Bilirubin | 0 - 1.5 High:erythoblasstosis fetalis, sickle cell, Hep Low:Fe deficiency anemia, drugs ASA, PCN |
| Ca | 8.2 - 10.2 high: diet, hyperparathyroid, meyloma, carcinoma, thiazides Low: D, chronic infection, burns, hypoparathyroid, CRF, pancratitis |
| Lipase | 4 - 24 High: pancreatitis, mumps, TBI, renal transplant, cirrhosis |
| Amylase | 6 - 160 High: Pancreatitis, cholecystitis |
| Iron | 42 - 135 High: hematochromatosis, Fe intake, liver necrosis Low: anemia, immunodeficiency, leukemia, lymphoma, nephrotic syndrome |
| PaO2 | 80 - 100, COPD 70+ High: breathing Low: CO2 exposure, anemias, pulmonary dz |
| CO2 | 35 - 45 High: respiratory acidosis, hypoventilation Low: respiratory alkalosis, hypoxia, hyperventilation, anxiety |
| HCO3 | 22 - 26 High: metabolic alkalosis Low: Metabolic acidosis |
| pH | 7.35 - 7.45 High: alkalosis Low: acidosis |
| PTT | 20 - 40 sec heparin High: liver dz, low Vit k, R/O hemorrhage Low:risk for clot, High Vit K, hormone therapy |
| PT | 9.5 - 12 sec Warfarin High:risk for bleed, Low: risk for clot, increase drug therapy |
| AST/ALT | 8 - 40 High: live cell damage |
| CVP | 3 - 12 cm High: hypervolemia, poor CO Low: hypovolemia |
| MAP | 70 - 110 MAP = (SBP + 2DBP) / 3 High: See formula Low: inadequate tissue perfusion |
| Urine specific gravity | 1.010 - 1.030 |