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