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