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chemistry

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Term
Definition
Glucose   70-110  
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Glucose   Diabetes, Stress, Corticosteroids Critical high > 400 critical low < 50  
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Hemoglobin A1C   2.5 – 5.9% Best control  
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Hemoglobin A1C   Indicates Blood Sugar control or past 2- 3 month period Fair control - 6-8% Poor control - > 8  
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Blood Urea Nitrogen (BUN)   10-20  
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Blood Urea Nitrogen (BUN)   ↑ in renal or liver disease & dehydration Critical high > 100  
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Sodium   136-145  
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Sodium   Balances intravascular fluids: ↑ in dehydration; ↓ in hypervolemia Critical high > 160; Critical low < 120  
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Potassium   3.5 – 5.3  
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Potassium   Narrow range in blood: too high or too low → cardiac dysrhythmias & arrest Critical high > 6.5 Critical low < 2.5  
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Chloride   98 - 106  
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Chloride   ↑ with excess IV NS; ↓ with NA & K losses  
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CO2   23 - 30  
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CO2   Another determinant of metabolic acid base state: ↑ = alkalosis, ↓ = acidosis  
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Creatinine   0.5 - 1.2  
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Creatinine   Increased in kidney impairment Critical high > 4  
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Total Bilirubin   < 1 Critical value > 12  
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Total Bilirubin   If abn → test direct & indirect ↑ liver diseases → jaundice; ↓ Fe deficient anemia  
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Calcium   8.8 - 10.8  
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Calcium   Narrow range in blood ; elevated with diuretic use &hyperparathyroidism. ↑ excess demineralization of bone; ↓ → tetany  
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Total Protein   6.3 – 8.4  
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Total Protein   ↑ in dehydration, V&D; ↓ in malnutrition, liver & kidney disease  
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Albumin   3.5 - 5  
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Albumin   ↑ in dehydration, V&D; ↓ in malnutrition, liver & kidney disease →3rd spacing & ascites  
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Cholesterol   < 200  
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Cholesterol   ↑ Atherosclerosis, uncontrolled DM, & AMI ↓ Hyperthyroidism, Cushing’s, malabsorption  
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HDL   > 40 men > 50 women  
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HDL   ↑ indicates a decreased cardiac risk  
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LDL   < 100  
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LDL   ↑ indicates an increased cardiac risk  
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Triglycerides   < 150  
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Triglycerides   < 100 low risk of CVD; > 200 high risk of CVD  
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CPK   30 - 135 55 - 170  
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CPK   Enzyme in heart & skeletal muscle ↑ Muscle damage or disease, AMI, & CVA  
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LDH   60 – 180 mg/dl  
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LDH   Used to diagnose AMI: ↑ 12 – 24 hrs post MI peaks in 2-5 days and remains ↑ for 6-12 days  
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Troponin   <0.01 ng/mL  
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Troponin   Used to diagnose AMI with rising levels. Decreasing values indicate recent cardiac injury.  
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BNP   < 100 is desired  
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BNP   Used to diagnose CHF; Severe CHF > 400  
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AST/SGOT   0 - 35  
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AST/SGOT   Specific for liver damage: AST/ALT ratio distinguishes if heart or muscle  
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ALT/ SGPT   4 - 36  
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ALT/ SGPT   Specific for liver damage; but also heart and muscle damage  
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ALP   30 - 120 IU/L  
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ALP   Alkaline Phosphatase; high levels in hepatobiliary & bone diseases  
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Lipase   20-180  
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Lipase   Enzyme secreted by Pancreas: ↑ acute pancreatic disorders ↓ late cancer of pancreas, hepatitis  
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Amylase   60 - 160  
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Amylase   Enzyme secreted by Pancreas:↑ acute pancreatic disorders ↓ advanced chronic pancreatitis  
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Ammonia   15 – 45 Hesi  
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Ammonia   Correlates with hepatic failure 10-80 mg/dl Hurst  
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TSH   0.3 – 3.0  
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TSH   Thyroid stimulating Hormone High TSH is hypothyroid and Low TSH is hyperthyroid.  
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