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Clin Lab
WBC & UA
34
Other
Not Applicable
06/08/2009

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Cards

Term
WBC values
Definition
5000-10000
PANIC: 500< OR >30000
Term
Hb values
Definition
male 14-17.4 g/dL
female 12-16 g/dL
PANIC: < 5 OR > 20
Term
Hct
Definition
male 42-52
female 36-48
PANIC < 20% (HEART FAILURE) > 60% (SPONTANEOUS CLOTTING)
Term
MCV values
Definition
84-96 (fl)
Term
Platlet values
Definition
140000-400000 or (140-400X10^3)
PANIC: < 20000 OR > 1000000
Term
Band %
Definition
1-3%
Term
Segmented %
Definition
50-62%
Term
Lymphocyte %
Definition
25-45%
Term
WBC
Common causes of high and low results
Definition
High- Infection,
Low- Bone marrow failure-Leukemia (you get infected easy)
Term
Platelet Count
Common causes of high and low results
Definition
High: Tumors, polycthemia vera, inflam.
Low: Leukemia, AIDS
Term
Reticulocyte count
Definition
Not in CBC
Reticulocytes are immature RBCs
Hemmorage and anemia are causes
Term
Reticulocyte index
Definition
1. A reticulocyte index is used to measure the appropriateness of a bone marrow response to anemia. Value should be close to 1 for normal range. If lower, the bone marrow response is inappropriate
Term
Anisocytosis
Definition
variation in size of RBCs
Term
Poikilocytosis
Definition
abnormally shaped RBCs
Term
Target cells
Definition
abnormal RBC characterized by a densely stained center surrounded by pale, unstained ring and irregular bank (can occur w/ anemia)
Term
If you put someone on Iron and they have a high reticulocyte count the next visit, then...
Definition
that means the bone marrow is trying to compensate and that the Iron treatment is working
Term
Specifc gravity vlaues
Definition
1.015-1.025
Term
Specific Gravity
Common causes for high and low values
Definition
High- over hydration, diabeties insipidus, renal failure
Low- Dehydration, diabeties mellitus
Term
Specific gravity def
Definition
measures the kidney’s ability to conc & dilute urine; SG is the weight of urine against the weight of distilled water.
Term
pH values
Definition
4.5-8.0
Term
pH
Common causes for high and low values
Definition
High (Basic)- UTI, hyperventilation
Acidic- Acidosis, uncontrolled diabetes
Term
Glucose (UA)
Common causes for high and low values
Definition
High (positive)- Diabetes or kidney disease
Low- there is no low, there should not be any glucose in the urine
Term
Glucose (UA) value
Definition
Normal is no glucose in the urine--anything else is abnormal
Term
Ketone (UA) values
Definition
any positve result is abnormal
Term
Ketones (UA)
Common causes for postive value
Definition
Pos: diabetes mellitus, starvation, fasting, high-fat diets, anorexia, hyperthyroidism, alcoholism, etc
BASICALLY- body uses fats and muscle when carbs can't be used.
Term
Blood in UA
Common cause of Positive results
Definition
infection (UTI), kidney stones, and cancer
Term
hemoglobinuria
Definition
free hemoglobin in the urine, usually associated with conditions outside the Urinary tract
Term
hematuria
Definition
intact RBCs in the urine, indicating bleeding somewhere WITHIN the urinary tract.
Term
Protein in UA
Common causes
Definition
Kidney disease (24 hr sample required to confirm), diabeties, chronic UT obstruction
Term
Nitrates in UA
Common causes
Definition
bateruria
NOTE: negative test does not rule out infection (some bacteria are not nitrate producers)
Term
Bilirubin def
Definition
bilirubin is the breakdown product of hemoglobin from RBCs, transported to the liver for processing Normally NO bilirubin is detectable in the blood. Bilirubin appears in urine before other signs of liver diease
Term
Bilirubin in UA
Definition
liver disease, hepatitis, obstructive biliary tract
Term
Urobilinogen def
Definition
: urobilinogen is formed in the intestine by bacterial action on bilirubin. Most is metabolized in the liver and excreted in the bile, trace left over amounts are excreted in urine
Term
Urobilinogen
Causes of high and low
Definition
high (inc) - anything that cuases increase bilirubin production (hemolytic anemia)and/or prevents the liver from normally removing the reabsorbed urobilinogen
Dec result when normal trace amounts of bilirubin are not excreted into the GI tract, seen in blockage of the bile ducts, or in severe liver disease
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