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Diagnostic Test
Ranges
28
Nursing
Undergraduate 1
10/04/2013

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Cards

Term
White Blood Cell Count
Definition
  • 5000 - 10000μl
  • leukocytosis - elevated
    • infection
    • leukemia
    • tissue necrosis
  • leukopenia - decrease
    • bone marrow depression
    • ingestion of heavy metals
    • influenza, typhoid fever, measles, infectious hep, monoucleosis, rubella
Term
Red Blood Cell Count
Definition
  • Male 4.5 - 5.5 million μl
  • Female 4 - 5 million μl
  • ↑RBC - polycythemia
  • ↓RBC -
    • anemia
    • fluid overload
    • hemorrhage x24hrs
Term
Hemoglobin
Definition
  • Adult males 14-17.4
  • Adult femal 12-16
  • see handout for other values
  • ↑Hb -
    • hemoconcentration
    • dehydration
  • ↓Hb -
    • anemia
    • recent hemorrhage
    • fluid retention

 

Term
Hematocrit
Definition
  • Adult males 42%-52%
  • Adult femal 36%-48%
  • see handout for other values
  • ↑HCT -
    • polycythemia
    • hemoconcentration - blood loss
    • dehydration
  • ↓HCT -
    • anemia
    • hemodilution
    • massive blood loss
Term
Platelet Count
Definition
  • 140,000 - 400,000μl
  • thrombocytosis - increased platelet count
  • thrombocytopenia - decrea platelet count
  • ↑ increased
    • hemorrhage
    • infectious disorders
    • cancers
    • iron deficiency anemia
  • ↓decreased
    • aplastic/hypoplastic bone marrow
    • leukemia
Term
Prothrombin Time
Definition
  • Normal Range 10-14 seconds
  • Therapy is between 1 and 2.5x the normal value
  • PT used for monitoring oral anticoagulant therapy
  • prolonged PT time may indicate
    • hepatic disease
    • deficiences in fibrinogen, prothrombin, Vit k,
    • oral anticoagulant therapy

 

Term
International Normalized Ratio
Definition
  • Normal range 0.8-1.1
  • Full anticoagulant therapy is 1.5-2x normal
  • INR - monitors oral anticoagulant therapy
  • ↑ may indicate:
    • DIC-disseminated intravascular coagulation
    • cirrhosis
    • hepatitis
    • vit k deficiency
    • salicylate intoxication
    • massive blood transfusion
Term
Activated partial thromboplastin time
Definition
  • Normal 21-35
  • APTT - evaluates all the clotting factors, heparin therapy
  • ↑ may indicate:
    • presence of heparin
    • deficiency of certain plasma clotting factors
Term
Arterial Blood Gas analysis
Definition
  • pH 7.35 - 7.45
  • Paco2 35 - 45
  • Pao2 80 - 100
  • HCO3 22 - 26
  • Sao2 94 - 100%
  • 02CT 15 - 23%
Term
CO2 Levels
Definition
  • 22 - 26 mEq/L
  • ↑ may indicate:
    • metabolic alkalosis
    • hypoventilation
    • excessive loss of acids
  • ↓ may indicate:
    • metabolic acidosis
    • loss of HCO3
    • hyperventilation
Term
Sodium
Definition
  • Na 135 - 145 mEq/L
  • ↑ - hypernatremia 
    • inadequate water intake
    • diabetes insipidus
    • impaired renal function
  • ↓ - hyponatremia
    • inadequate Na intake
    • excessive Na loss
Term
Potassium
Definition
  • K 3.5 - 5 mEq/L
  • ↑ Hyperkalemia:
    • renal issues
    • acidosis
    • insulin deficiency
    • DKA
  • ↓ Hypokalemia:
    • DKA/Insulin admin w/o potassium supplement
    • GI/Renal disorders
    • diuretics
  • symptoms
    • alter cardiac rhythms
    • nerve impulses
    • muscle contractions
Term
Magnesium
Definition
  • Mg 1.3 - 2.3 mg/dl
  • ↑ hypermagnesemia:
    • renal failure
    • adrenal insufficiency (addison's disease)
  • ↓ hypomagnesemia:
    • chronic alcoholism
    • malabsorption syndrome
    • GI absorption issues
    • hypercalcemic conditions
Term
Phosphates
Definition
  • P 2.5 - 4.5 mg/dl
  • ↑ hyperphosphatemia:
    • skeletal disease
    • diabetic acidosis
    • high intestional obstruction
    • renal failure
  • ↓ hypophosphatemia:
    • malnutrition
    • treatment of diabetic acidosis
    • hyperparathyroidism
Term
Calcium
Definition
  • Ca 8.6 - 10.2 mg/dl
  • ↑ hypercalcemia:
    • hyperparathyroidism
    • pagets disease
    • prolonged immobilization
    • adrenal insufficiency
    • renal disease
    • overuse of antacids
  • ↓ hypocalcemia:
    • hypoparathyroidism
    • malabsorption
    • cushings syndrome
    • renal failure
Term
Chloride
Definition
  • Cl 97 - 107
  • ↑ hyperchloremia:
    • HCO3 loss
      • diarrhea
      • severe dehydration
      • renal shutdown
    • head injury(hyperventilation)
    • primary aldosteronism
  • ↓ hypochloremia:
    • low Na/K levels
    • chronic renal failure
    • prolonged vomiting
    • addisons disease
Term
Blood urea nitrogen
Definition
  • BUN 8 - 20 mg/dl
  • ↑ may indicate:
    • renal disease
    • dehydration
    • urinary tract obstruction
    • increased protein catabolism
  • ↓ may indicate:
    • severe hepatic damage
    • malnutrition
    • overhydration
Term
Creatinine
Definition
  • males 0.8 - 1.2 mg/dl
  • femal 0.6 - 0.9 mg/dl
  • levels normally remain constant
  • ↑ may indicate:
    • diminished renal function
Term
Uric Acid
Definition
  • males 3.4 - 7 mg/dl
  • femal 2.3 - 6 mg/dl
  • used to detect gout
  • ↑ may indicate:
    • gout
    • impaired renal function
    • heart failure
    • infections
  • ↓ may indicate:
    • defective tubular absoption
    • acute hepatic atrophy
Term
Albumin
Definition
  • adult 3.4 - 5.4 g/dl
  • ↑ hyperalbuminemia:
    • dehydration
    • severe vomiting/diarrhea
  • ↓ hypoalbuminemia:
    • cirrhosis
    • acute liver failure
    • severe burns
    • severe malnutrition
    • ulcerative colitis
Term
Creatine Kinase MB
Definition
  • male 55 - 170 units/L
  • fema 30 - 135 units/L
  • ↑ may indicate:
    • hypokalemia
    • CO poisoning
    • recent seizure
    • pulmonary/cerebral infarctions
Term
Troponin I
Definition
  • <0.35 mcg/L
  • ↑ may indicate:
    • >2mcg/L cardiac injury
Term
Fasting plama glucose
Definition
  • 70 - 110 mg
  • >126 mg indicator for diabetes
Term
Protein
Definition
  • 6.4 - 8.3 g/dl
  • measures five distinct proteins
  • ↑ may indicate:
    • Chronic inflammatory disease
    • dehydration
    • diabetic acidosis
    • diarrhea/vomiting
  • ↓ may indicate:
    • gi disease
    • heart failure
    • hemorrhage
    • uncontrolled DM
Term
Cholesterol
Definition
  • adults <205 mg/dl
  • ↑ hypercholesterolemia
    • CAD
    • hepatitis
    • lipid disorders
    • hypothryroidsim
  • ↓ hypocholesterolemia:
    • malnutrition
    • cellular necrosis of the liver
    • hyperthyroidism
Term
Amylase is
Definition
60-160 U/dl
Term
Bilirubin
Definition
  • 0-0.9 mg/dl
  • >2.5 mg/dl indicate jaundice
Term
ammonia
Definition
  • 15-45 mcg/dl
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