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Lab Normal Ranges
Lab Normal Ranges
13
Nursing
Undergraduate 3
06/12/2012

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Term
Potassium
Definition
3.5-5.0 mEq/L

Increase could be
dehydration
renal failure
acidosis
cellular/tissue damage
hemolysis of the specimen

Decrease could be...
NPO status when potassium replacment is inadequate
Excessive use of non potassium sparing diuretics
vomiting
malnutrition
diarrhea
alkalosis
Term
Sodium
Definition
90yr or younger 136-145 mEq/L
Older than 90 132-146 mEq/L

Increase in
cardiac or renal failure
hypertension
excessive amoutn of IV fluids containing normal saline
edema
dehydration (hemoconcentration)

Decrease in
nasogastric drainage
vomiting and diarrhea
excessive use of laxatives or diuretics
excessive amounts amounts of IV fluids containing water
Syndrome of inappropriate antiduretic hormone (SIADH)
Term
Chloride
Definition
90yr or younger 98-106 mEq/L
Older than 90 98-111 mEq/L

increase in
respiratory alkalosis
dehydration
renal failure
excessive amounts of IV fluids containing sodium chloride

decrease in
excessive nasogastric drainage
vomiting
excessive use of duiretics
diarrhea
Term
Carbon dioxide
Definition
60 yr or younger 23-30 mEq/L
60-90 yr: 23-31 mEq/L
Older than 90 yr: 20-29 mEq/L

increase in
chronic pulmonary disease
inetstinal obstruction
vomiting or nasogastric suctioning
metabolic alkalosis

decrease in
hyperventilation
diabetic ketoacidosis
diarrhea
lactic acidosis
renal failure
salicylate toxicity
Term
glucose (fasting)
Definition
60 yr or younger 70-110 mg/dL
60-90 yr: 82-115 mg/dL
Older than 90 yr: 75-121 mg/dL

increase in
hyperglycemia
excessive amoutns of IV fluids containing glucose
stress
steroid use
pancreatic or hepatic disease

decrease in
hypoglycemia
excess insulin
Term
creatinine
Definition
females
60 yr or younger 0.5-1.1mg/dL
60-90 yr: 0.6-1.2 mg/dL
Older than 90 yr: 0.6-1.3 mg/dL

males
60 yr or younger 0.6-1.2mg/dL
60-90 yr: 0.8-1.3 mg/dL
Older than 90 yr: 1.0-1.7 mg/dL

increase in
renal damage with destruction of large number of nephrons
renal insufficiency
acute renal failure
chronic kidney disease
end stage kidney diseae (ESKD)

decrease in
atrophy of muscle tissue
Term
blood urea nitrogen (bun)
Definition
60 yr or younger 10-20 mg/dL
60-90 yr: 8-23 mg/dL
Older than 90 yr: 10-31 mg/dL

increase in
dehydration
renal failure
excessive protein in diet
liver failure

decrease in
overhydration
malnutrition
Term
prothombin time (pro time, PT)
Definition
11-12.5 seconds

increase in
coagulation defect (bleeding disorder)
vitamin K deficiency

decrease in
coagulation (clotting) disorder, such as thrombophlebitis or pulmonary embolus
Term
International normalized ratio (INR)
Definition
0.7-1.8

increase in
anticoagulant therapy (aspirin, warfarin)

decrease in
extensive cancer
Term
partial thromboplastin time, activated (aPTT)
Definition
30-40 seconds

increase in
coagulation defect (bleeding disorder)
anticoagulant therapy (heparin)
liver disease

decrease in
coagulation (clotting) disorder, such as thrombophlebitis or pulmonary embolus
extensiv cancer
Term
White Blood Cell Count
Definition
5000-10000/mm3

increase in
infection
inflammation
stress
tissue necrosis

decrease in
immune disorder
immunosuppressant therapy
Term
hemoglobin, total
Definition
females
18-44yr: 12-16 g/dL
45-64yr: 11.7-16 g/dL
65-74yr: 11.7-16.1 g/dL

Males
18-44yr: 14-18g/dL
45-64yr: 13.1-17.2g/dL
65-74yr: 11.7-16.1 g/dL

increase in
dehydration
polycythemia
chronic pulmonary disease
congestive heart failure

decrease
blood loss
anemia
renal failure
Term
hematocrit
Definition
females
18-44yr: 35-45%
45-74yr: 37-47%

Males
18-44yr: 42-52%
45-64yr: 39-50%
65-74yr: 37-51%

increase in
dehydration
polycythemia
high altitude

decrease in
blood loss
anemia
kidney failure
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