Coags and Cardiac
Therapeutic INR range
2.0-3.0
What are the expected values for each part of the ABG interpretation?
pH: 7.35-7.45
CO2: 45-35
HCO3: 22-26
Lab result commonly depressed by steriod use
WBC
Expected value in an adult is 10-20
BUN
My doctor said I'm supposed to have a CRP and ESR blood draw. What are these measuring?
Inflammation
What is lab values are used to determine the effectiveness of coumadin?
PT and INR
Respiratory Alkalosis
Values that most accurately assess for bleeding and blood loss
HGB and HCT
Expected fasting values of 70-105
Serum glucose
What are blood cultures used for, and how many sets do we draw?
Determining presence of a foreign body in the blood (bacteria, fungus, etc)
2 sets; 2 different places
What is the lab value used to determine heparin's therapeutic effectiveness?
aPTT
Metabolic Acidosis
Type of white blood cell which is the first line of defense against infection via phagocytosis
neutrophils
What electrolyte is used to treat eclampsia and Torsades de Pointes?
What is this electrolyte's expected value?
Magnesium
1.3-2.1
What electrolyte imbalance is manifested in Chvostek sign and Trousseau's sign?
hypocalcemia
what value most accurately indicates myocardial injury?
Troponin
Metabolic Alkalosis
This term means that blood is present and visible in the urine.
Gross Hematuria
3 values used to determine kidney function or involvement in illness
GFR, BUN, Cr
A patient who is jaundiced will likely have an elevation of which protein?
Bilirubin
Elevation of which hormone indicates exacerbation of CHF?
BNP
Why does a patient in diabetic ketoacidosis exhibit Kussmaul Respirations?
The body is in metabolic acidosis.
the respiratory system's attempt to blow off large amounts of CO2 to decrease the acidity of the blood.
How could dehydration affect H/H levels, or a CMP?
Increased levels
In chronic liver disease, serum levels of this protein will diminish causing the fluid portion of the blood to leak out of the blood vessels.
albumin
What precautions are initiated for hyponatremia?
SEIZURES
*suction, IV access, padded side rails