DM Dx Values
Normal fasting glucose?
(dx value)
What is under 100 mg/dL?
Target value for fasting blood glucose for patient diagnosed with DM.
What is 80-130 mg/dL?
MOA of Insulins, any type.
What is the uptake of serum glucose into skeletal muscle, reducing blood glucose and inhibiting glycolysis?
AND
Is ALT elevated, decreased, or normal in liver disease?
What is: 4-36 U/L, elevated in liver disease?
Expected range for albumin, and how it is altered in liver disease.
What is 3.5-5 g/dL, and decreased?
Fasting glucose value, diagnostic for DM.
What is at or above 126 mg/dL?
Target value for 1-2 hours post prandial blood glucose, for patient dx with DM.
What is less than 180 mg/dL?
Onset, peak, and duration of action for Insulin Lispro (Humalog).
What is:
O: 15-30 min
P: 0.5-2.5 hrs
D: 3-6 hrs
Normal range for AST
AND--elevated, decreased, same in LD?
What is 0-35 U/L, elevated?
Expected range of total protein, and how it is altered in liver disease
AND: presentation (Sx) of low total protein/albumin.
What is 6.3-7.9 g/dL, decreased, and edema d/t increased risk of fluid extraversion? D/t lowered BCOP (blood colloid osmotic pressure)
Normal blood glucose, 2 hrs post prandial.
(dx value)
What is below 140 mg/dL?
Target value for HbA1c, for adult dx with DM?
What is less than 7%?
Onset, peak, and duration for Insulin Glargine (Lantus).
What is:
O: 70 min
P: None
D: 18-24 hrs
Normal range for Alkaline Phosphate (AlkPhos) AND is value elevated, decreased, same in LD
What is 30-120 U/L, elevated?
Bonus: is AlkPhos or GGT more sensitive to liver disease? (answer on LFT: 400)
Expected range of bilirubin, alteration in liver disease, AND expected presentation (Sx) of _____ bilirubin in LD
What is 0.1-1 mg/dL, elevated, and elevated bilirubin = jaundice of skin, eyes, etc.
2 hours post prandial blood glucose range, diagnostic for DM.
What is above 200 mg/dL?
Target value for HbA1c, for pediatric patient dx with DM?
What is less than 7.5%?
What is:
O: 1-2 hrs
P: 6-14 hrs
D: 16-24 hrs
Normal range for GGT, AND is it elevated, decreased, or same in LD.
What is 8-38 U/L, elevated?
More sensitive than AlkPhos in detecting liver disease.
Expected range of serum ammonia, alteration in LD, and presentation (Sx) when ammonia levels are ____ in LD?
What is 14-45 mcg/dL, elevated, and when ammonia levels are elevated, Sx: involuntary finger flap, confusion, disorientation (acute), coma, encephalopathy?
HbA1C diagnostic values, from normal, pre-diabetic, diabetic (adult)
What is:
Norm: less than 5.7%
PreDia: 5.7-6.4%
Diabetic (adult): greater or equal to 6.5%
The expected blood glucose if a patient is dx with HHS.
Daily Double: The expected blood glucose range for diabetic ketoacidosis.
What is over 600 mg/dL?
Daily Double: 300-750 mg/dL
Onset, peak, duration of Insulin Regular (Humalin R).
What is:
O: 30 min - 1 hr
P: 1-5 hrs
D: 6-10 hrs
Expected value range for HDL, LDL, and total cholesterol
AND: expected presentation of values in LD
What is:
HDL: above 60
LDL: below 100
Total Cholesterol: below 200
LD Presentation: HDL (low), LDL (high), TC (high)
Expected range of prothrombin time (PTT), INR, alteration of values in LD, and expected presentation (Sx) when altered in LD
What is
PTT: 9.5-13.8 sec
INR: less than 1.3
In LD, INR/PTT may be elevated--leads to increased bleeding risk.