Question | Answer |
White blood cell count (WBC) | 4500-10,000 mm3 |
Function of WBC | -Total leukocyte count
-Sub divided into 5 types in differential
-Determines the presence of infection |
Decreased alterations in WBC | Viral infections, anemia, drugs |
Increased alterations in WBC | Acute infection, tissue necrosis, leukemia, drugs |
Hgb | M-13.5-18 g/dl
F-12-15 |
Function of Hgb | Iron component of RBC that carries O2 |
Decreased alterations in Hgb | Anemia, hemorrhage, leukemia, over-hydration |
Increased alterations in Hgb | Dehydration, COPD, heart failure |
Hct | M-40-54%
F-36-46% |
Function of Hct | Measures the concentration of RBCs found in 100ml of blood
3:1 relationship with Hgb 3hct:1hgb |
Decreased alterations in hct | Anemia, hemorrhage, leukemia, overhydration |
Increased alterations in hct | Dehydration, COPD, heart failure |
Platelet count | 150,000 - 400,000
Critical Values: <50,000 risk for not being able to clot, <20,000 risk for spontaneous bleeding |
FUnction of Platelet | Basic elements in blood to promote coagulation
Clump and stick to rough surfaces
Asprin makes platelets less sticky. |
Decreased alteration in Platelet count | Leukemia, cancer, anemia, autoimmune disease, DIC |
Increased alteration in platelet count | trauma, surgery, metastatic cancer |
Glucose | Fasting blood sugar--70-110mg/dl
Elderly 70-120mg/dl |
Function of glucose | -Main energy source
-Regulated by glucagons and insulin
-Used to diagnose diabetes and monitor oral hypoglycemic drugs. |
Decreased alterations in glucose | adrenal hypofunction, liver disease |
Increased alterations in glucose | Diabetes mellitus, adrenal hyperfunction, stress, drugs |
Electrolytes | Sodium (Na+)
Chloride (Cl)
Potassium (K+) |
Na+ | 135-145mEq/L |
Cl | 95-105mEq/L |
K+ | 3.5-5.3mEq/L |
Blood Urea Nitrogen (BUN) | 5-25 mg/dl |
Function of BUN | -End product of protein metabolism
-Excreted by the kidneys |
Decreased alterations in BUN | severe liver damage, low-protein diet, overhydreation |
Increased alterations in BUN | dehydration, high-protein diet, prerenal and renal failure, drugs |
Creatinine | 0.5-1.5mg/dl |
Function of creatinine | -From the breakdown of muscle
-Amount of creatinine proportional to muscle mass.
-NOT influenced by hydration and diet
-More sensitive indicator for kidney function.
-Evaluates glolmerular function |
What type of body fluid or tissue is a Culture and Sensitivity able to test? | Any body fluid or tissue |
A culture identifies what? | The presence and type of microorganism. |
How long does a culture take? | 24 to 72 hrs |
Sensitivity identifies what? | The antibiotic that will inhibit the growth of the bacteria. |
Resistant (R) | The antibiotic does not inhibit growth of microorganism. |
Intermediate (I) | Bacterial growth retardation is inconclusive |
Sensitive (S) | The antibiotic is effective in inhibiting growth of microorganism. |
When does a consent need to be signed? | When Pt is recieving a diagnostic test with a contrast medium or invasive procedure. |
Post-test nursing care after an angiogram | -VS
-Monitor pulses, color and temp. distal to catheter insertion site.
-Assess catheter insertion site, apply pressure if needed.
-Enforce bedrest
-Monitor for delayed allergic reactions to contrast. |
What is an MRI best used for viewing? | -Soft tissue
-Central nervous system
-Joints |