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wvc F&E Lab values
wvc F&E Lab values from Iggy
| Question | Answer |
|---|---|
| Arterial pH | 7.35 - 7.45 |
| Arterial paCO2 | 35-45mm Hg (increased: respiratory acidosis, emphysema, pneumonia, cardiac failure, respiratory depression///decreased: respiratory alkalosis, excessive ventilation, diarrhea) |
| Arterial paO2 | 80 - 100 |
| Arterial HCO3 | 21 - 28 (increased: Bicarbonate therapy, metabolic alkalosis ////decreased: metabolic acidosis, diarrhea, pancreatitis) |
| BUN | 7 - 20 mg/dl (affected by body fluid levels) |
| Creatinine | 0.5 - 1.4(mg/dl) (kidney function) |
| Calcium | 9.0 – 10.5 mg/dL |
| Chloride | 98 - 106 mEq/L |
| Magnesium | 1.3 - 2.1 mEq/L |
| Phosphate | 3.0 - 4.5 mg/dL |
| Potassium | 3.5 - 5.0 mEq/L |
| Sodium | 135 - 145 mEq/L |
| Osmolality | 285 - 310 mOsm/kg |
| Protein | 6-8 G/dL |
| Albumin | 3.5-5 g/dL |
| Urine Specific Gravity | 1.010-1.025 |
| Urine pH | 4.5-8.0 pH |
| ALT (alanine aminotransferase) | 7-56 units (increased= liver disease; hepatitis; cirrhosis) |
| AST (aspartate aminotransferase) | 7-35 units (increased= liver disease; hepatitis; cirrhosis) |
| total bilirubin | 0.1-1.0 (increased= hemolysis; biliary obstruction; hepatic damage) |
| ammonia | 11-35 (increased= hepatic disease; cirrhosis) |
| serum amylase | 50 – 150 U/dL (increased= acute pancreatitis) |
| serum lipase | 10 – 140 U/L (increased= acute pancreatitis) |
| cholesterol | greater than 200 (increased could indicate pancreatitis or biliary obstruction) |
| HCT Males | 42%-52 ...Possible critical values <15% or > 60% |
| HCT Females | 37%- 47% ...Possible critical values <15% or > 60% |
| Hgb Male | 14-18 g/ dl ....possible critical values <5 g/dl or >20 g/dl |
| Hgb Female | 12-16 g/dl ....possible critical values <5 g/dl or >20 g/dl |
| Platelet count | 150,000- 400,000 ....possible critical value <50,000 or > 1,000,000 |
| lithium | 0.6-1.2 |
| Red blood cells (RBC) Males | 4.6-6.2 mil/mm3 |
| Red blood cells (RBC) Females | 4.2-5.4 mil/mm3 |
| Erythrocyte Sedimentation Rate (ESR) | <20 mm/hr (increased in inflammation, chronic renal failure, bacterial infection, malignant diseases, severe anemias. |
| Bleeding time | 4-7 min |
| Prothrombin time (PT)/ INR | 11-14 sec/ 0.8-1.1 (in normal pt.) In a PT that is anti-coagulated....1.5-2 x control vlaue or INR of 2.0-3.0 mechical valve 3.0-4.0 depends on patient needs.. Increased in cirrhosis, Hep, vit K deficiency, bile-duct obstruction, DIC, huge transfus |
| Partial thromboplastin time (aPTT or PTT) | aPTT<40sec//PTT <70 1.5-2.5 x control in anti-coagulated. increased in heparin use, vit K deficiency, cirrhosis, hemophilia or other clotting disorders, bile obstruction |
| Ammonia | 11-35 umol/L |
| therapeutic Digoxin level | 0.8-2.0 ng/mL |
| Therapeutic Lithium level | 0.6-1.2 mEq/L |
| Four negatives in Urine | Glucose, RBC, WBC, Albumin |
| cholesterol (HDL) | 30 – 75 mg/dL |
| cholesterol (LDL) | Less than 130 mg/dL desirable |
| triglycerides (Male) | Greater than 40 – 170 mg/dL |
| triglycerides (Female) | Greater than 35 – 135 mg/dL |