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Lab Values
Lab values from ATI etc
| Question | Answer |
|---|---|
| Sodium | 135 to 145 |
| Normal INR and Coumadine INR | normal 1-2 on Coumadine 2-3 |
| Rhematoid Factor Norm and Risk + for RA | 1:40 to 1:60 Normal less than or equal to 1:20 positive for RA |
| Calcium | 9 to 10.5 |
| Normal aPtt and Heparine aPtt | 20 to 30 normal heparin 45 to 90 |
| Magnesium | 1.2 to 2.1 |
| Legal Blindness | 20/200 |
| Phosphorus | 3 to 4.5 |
| Albumin | 3.5 to 5 |
| Intraoccular Pressure | 10 to 21 |
| Glomular Filtration Rate | 120 to 125 ml/hr Use creatine clearance test to determine |
| Digoxin therapeutic index | 0.8 to 2.0 |
| Normal PT and Coumadine PT | 11.5 to 13.5, coumadine prolongs |
| BUN | 7-21 |
| Creatine | 0.6 to 1.2 |
| RBC | 4. to 5.5 women on the low side, men on the high side |
| HGB | Women 12-16 Men 14-18 |
| ICP | 1-20 |
| AST | 7 to 42 |
| ALT | 1-45 |
| ALP | 30 to 120 |
| Mechcanical Vent Cuff pressure, check how often | less than 20, check Q8 |
| Platelet | 150 to 450 |
| Troponin T | Less than 0.2ng/l First elevate 3to5 hr post MI stay elevated for 14 to 21 day |
| Troponin I | less than 0.03, First elevate 3hr post MI Stay elevated for 7 to 10 days |
| Myoglobin | less than 90 first elevate 2 hours post MI Stay elevated for 24 hours |
| CK-MB | 30 to 170 first elevate for 4 to 6 hours stay elevated for 3 days BEST indicator of MI |
| Mechcanical Heart Valve...pt must take what | anticoagulant |
| Sinus Tach | greater than 100 |
| BNP levels normal to severe HF | less than 100 normal HF present at 100 to 300 mild HF at 300 to 600 Moderate 600 to 900 Severe (greater than 900) |
| C reactive Protein (risk for CVD) | <1 low risk for CVD >3 high risk for CVD |
| MAP | Greater than 60 |
| QRS in Normal Sinus | 0.04 to 0.10 |
| PR interval | 0.12 to 0.20 |
| Defib at what Joules | 200, 300, 360 |
| PSA normal is | less than 4 |
| BUN/creatine Ratio increases with | Renal dz dehydated pt high protein diet |
| Specific Gravity | 1.001 to 1.040 |
| Specific gravity increases | more conc urine decreased water intake increased ADH (pee less) Decreased renal perfusion |
| Specifc Gravity decreases | Less conc urine Renal Dz (failure) DI HIgh fluid intake |
| Fetal HR | 110 to 160 |
| Nagele Rule | First day of LMP add 7 days Subtract 3 mo add one year |
| Blood transfuse what size IV | 18 to 19 guage |
| WBC | 4.5 to 11 |
| Amylase | Normal 30 to 110 Increases (2 to 3 times) with in 12 hour of pancreatitis, |
| Lipase | Increase 2 to 3 times with pancreatitis Rises slower than amylase Stays elevated for 2 weeks |
| Amylase and Lipase are also elevated with | Pancreatic Cancer |
| Antigen specific for pancreatic cancer | Carinoembroyonic antigen |
| Mental Retardation IQ less than | 70 |
| Newborn Respiration | 30 to 60 |
| Heart Rate for Newborn | 100 to 160 Apical for full minute listen at 4th ic space |
| Normal newborn temp | 97.7 to 99 |
| Hypoglycemia in newborn | less than 40 to 50 |
| Contraction stress test | you want a "negative" result means no late decels in test Postive means late decels present durign test, newborn will not tolerate labor well |
| Non stress test | You want Reactive: 2 acels within 20 min, moderate variabity, HR within 110 to 160, no decels |
| Fetal lung maturity 2 things a ratio and what else present with mature lungs | Lecithin/sphingomyelin 2:1 ratio equals lungs mature Phosphatidylguierol (PG) presence indicates mature lungs; not present equals risk for resp distress |
| Blood osmolartiy | 270 to 300 |
| Triglycerides should be | less than 150 |
| LDL ideally less than | 100 |
| HDL ideal | greater than 60 |
| Protien in serum | 6 to 8 |
| 1 hour glucose in pregnancy, high reading is | greater than 140 |
| HGB during pregnancy | 9 to 11 normal don't transfuse to 6 or 7 |
| Fetal blood Ph | 7.25 normal, less than 7.20 requires intervention |
| Fetal Sp02 | 30 to 70 |
| Bilirubin in a newborn | day 1 0 to 6 day 2 less than 8 day 3 less than 12 |
| Nitrazine paper | Rupture + am fluid if blue/grey - am fluid if yellow or green |
| 1 little box | 0.04 seconds |
| 1 big box | 0.2 seconds (5 little box) |
| ST elevation or depresion | no more than 2 little boxes above or below isoteric line |
| LDH | nonspecfic martker for Heart attack |
| irreg rythme measure how to determine | R to R |
| T wave height | no more than 2 little boxes (??) |
| Tall tented T waves | hyperkalemia |
| Widen QRS | v tach |
| Saw tooth | A flutter |
| icteric | yellow color (jaundiced) |
| phenytoin (dilantin) | 10 to 20 |
| hba1c norm | 4 to 6 ref DM goal <7 |
| 1 serving of carb | 15g (half of a cup for OJ), 8oz milk |
| hypoglycemia is | less than 70 |
| hyperglycemia | greater than 250 |
| during hyperglycemia, when bg less than 250, switch IV to | 0.45% NS plus 5% dextrose |
| hyperglycemia | monitor K,insulin brings potassium back into cell, so potasium may drop |
| acidosis and potassium | hyperkalemia |
| alkalosis and potassium | hypokalemia |
| potassium rate IV | less than 20meq per hour MAX MAX RECOMMENDED 5 to 10 meq/hour, if greater than this put on cardiac monitor |
| infection can cause stress can cause (with relation to BG | hyperglycemia |
| Parkland formula | 4ml (lactated ringers) X BS% burned X KG = XXXX within 8 hr of burn 1/2 of XXXX next 8 hours 1/4 of XXXX next 8 hours 1/4 of XXXX |
| Lithium | 0.6 to 1.2 is the therapuetic index toxic at 1.5, life threat at 2 |
| ammonia | greater than >110 concerning |
| bilirubin is elevated at | 1 |
| TSH norm | .2-5.4 |
| t4 | 5 to 12 |
| t3 | 80 to 230 |
| pre prandial bg goal is | 90 to 130 |
| post prandial bg goal is | less than 180 |
| aminoglycosides are | renal toxic, ototox |
| gentamycin is a | aminoglycoside |
| sulfa drugs | do not give to prego women near tear, bfeeding, or infant less than 2 mo (increases jaundice), Blood dyscrasias, hypersen |
Created by:
robyng
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