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        | mean corpuscular Hgb def.   |  | Definition 
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        | rbc distribution width def. |  | Definition 
 
        | indication of variation of rbc size |  | 
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        | vit b12 def, folic acid def. |  | 
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        | acute blood loss, hemolysis |  | 
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        | indicates fluid status; if >20 = dehydration |  | 
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        | if FENa< 1% = dehydration |  | 
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        | nausea malaise headache altered mental status depressed deep tendon reflexes lethargy seizures  ( HANDS LM) |  | 
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        | isovolemic hyponatremia common cause |  | Definition 
 
        | syndrome of inappropriate ADH hormone SIADH |  | 
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        | drugs that increase SIADH risk |  | Definition 
 
        | chlorapromide oxyabazeine carbamazepine ( all increase ADH release and increase response to ADH) |  | 
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        | diabetes insipidus which can be of 2 classifications:  central - sudden onset polyuria  nephrogenic - lithmus onset polyuria  |  | 
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        | hypokalemia (apparent cause) |  | Definition 
 
        | beta agonists  insulin  metabolic alkalosis  (BIM) |  | 
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        | hypokalemia (true) causes |  | Definition 
 
        | Gi loss renal loss  decreased intake   renal loss includes: diuretics  hyperaldosteronism  amphotericin B  corticosteroids  |  | 
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        | hyperkalemia  (apparent) cause |  | Definition 
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        | hyperkalemia ( true) cause |  | Definition 
 
        | increased intake : cellular/muscle breakdown  salt substitutes   decreased output : renal failure,  ACE-I ARB ( angiotensin receptor blocker)  beta blockers trimetoprim  |  | 
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        | Calcium Phosphate Product |  | Definition 
 
        | if > 55 = increased risk for soft tissue calcification |  | 
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        | alcoholism - poor nutrient intake diuretics amphotericin B  vomiting diarrhea  hypoparathyroidism hyperaldosteronism hyperthyroididsm  |  | 
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        | hypomagnesium signs /symptoms |  | Definition 
 
        | muscle twitch tetany personality changes convulsions stupor coma  torsades de pointes  |  | 
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        | antacid laxative  iv fluids/ parenteral nutrition  |  | 
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        | muscle weakness fatigue  lethargy hypotension coma  paralysis cardiac arrest  |  | 
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        | long term TPN  hypoparathyroidism ( thyroidectomy) renal failure   |  | 
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        | meds that can cause hypocalcemia |  | Definition 
 
        | meds: steroids bisphosphonates diuretics  |  | 
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        | hypocalcemia signs/ symptoms |  | Definition 
 
        | finger numbness tingling in extremities paresthesia tetany  chvostek's sign trousseau's  hypotension  cardiac arrhythmias  |  | 
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        | malignancy primary hyperparathyroidism   |  | 
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        | meds that can cause hypocalcemia |  | Definition 
 
        | calcium supplementation vit D analogue estrogen thiazide diuretics  |  | 
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        | signs / symptoms of hypercalcemia |  | Definition 
 
        | nause  vomiting  abdominal pain polyuria polydipsia ekg changes ventricular arrhythmias lethargy  obtundation pscyhosis  coma death |  | 
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        | alcoholism thiazide/ loop diuretics  intracellular shifiting - refeeding syndrome  excessive use of phosphate binders: calcium containing antacids, sevelamer , lanthanum  |  | 
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        | signs/symptoms of hypophosphatemia |  | Definition 
 
        | muscle wekaness  paresthesia confusion obtundation seizure  coma  |  | 
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        | chronic kidney disease excessive intake hyperparathyroidism treatment of malignancy |  | 
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        | sings/symptoms of hyperphosphatemia |  | Definition 
 
        | soft tissue calcification |  | 
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        | used to diagnose AMI can use by itsel (serial) |  | 
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        | meds that can increase CK |  | Definition 
 
        | amphotericin B Clofibrate ethanol lithium halothane succinylocholine barbituate poising  im injections aminocapronic acid 3 hydroxy 3 methylglutaryl coenzyme A reductase inhibitors Statins working out  |  | 
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        | < 200 mg/dL borderline high 200-239 high >240  |  | 
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        | % of vol that are erythrocytes |  | 
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        | amount of hemoglobin PER RBC ( HgB/RBC) |  | 
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        | low MCH (mean corpuscular HgB) - pale RBC- iron deficiency anemia |  | 
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        | mean corpuscular hemoglobin conc. |  | Definition 
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        | high rbc's / HgB  disease state in which the proportion of blood volume that is occupied by red blood cells increases. Blood volume proportions can be measured as hematocrit level.   |  | 
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        | rbc volume - MCV - mean cell volume ( average number of rbc's) |  | 
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        | what is normocytic anemia |  | Definition 
 
        | occurs when the overall hemoglobin levels are decreased, but the red blood cell size (mean corpuscular volume) remains normal MCV 81-99 fL.  |  | 
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        | what is macrocytic anemia |  | Definition 
 
        | In a macrocytic anemia the larger red cells are always associated with insufficient numbers of cells and often also insufficient hemoglobin content per cell |  | 
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        | thrombocytosis /thrombocythemia |  | Definition 
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        | measurement of avg. size of platelets |  | 
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        | amount of time it takes 4 blood to clot |  | 
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        | D-dimer is a fibrin degradation product a small protein fragment present in the blood after a blood clot is degraded by fibrinolysis. It is so named because it contains two crosslinked D fragments of the fibrinogen protein.[1] D-dimer concentration may be determined by a blood test to help diagnose thrombosis. |  | 
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        | incrased fibrinogen and increased fibrin degredation indicate |  | Definition 
 
        | disseminated intravascular coagulation- In DIC, the processes of coagulation and fibrinolysis are dysregulated, and the result is widespread clotting with resultant bleeding. |  | 
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        | neutrophils are the ___ response to infection less mature neutrophils are called ___and are ___ in infections bands are ___ neutrophils   |  | Definition 
 
        | first bands / stab; elevated immature |  | 
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        | leukocytes tat engulf/digest other cells |  | 
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        | recognize non self cells that alert NK, T, B, cells (lymph NKTB < like new kids on the block) |  | 
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        | HIV type 1 radiation exposure glucocorticosteroids lymphoma (hodgkin's disease)-  a cancer of lymph tissue found in the lymph nodes, spleen, liver, bone marrow, and other sites. aplastic anemia - condition where bone marrow dosn't make sufficient new cells to replace old ones |  | 
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        | viral infection lymphomas  |  | 
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        | increase in number of neutrophil cells ( due to infection usually and if u have left shift then your bands increase and all your other cells will decrease) |  | 
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        | high band cell count; usually due to infection >5% |  | 
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        | normal reporting order of differential |  | Definition 
 
        | segs/ bands/ lymph/mono/ eosino/ baso "some bands like mooning every babe" |  | 
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        | bloodstream cerebrospinal fluid pericardinal fluid pleural fluid peritoneal fluid- lubricates abdominal cavity synovial fluid - in synovial joints bone urine (directly from kidney/bladder) |  | 
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        | staphlococcus streptococcus corynebactrum |  | 
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        | streptococcus  haemophilus  |  | 
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        | bacteroide escherichia  klebsiella pneumonia enterococcus streptococci  |  | 
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        | streptococcus staphlococcus lactobacillus   |  | 
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        | common stains to ID fungi |  | Definition 
 
        | KOH India ink periodic acid schiff gomori methenamine silver stain acid fast gram stain wright or giemsa stain |  | 
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        | purifeid protein derivative - inect into skin and ppl that have been exposed to hiv will have a hypersenstitivity rxn to it |  | 
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        | tests done to diagnose hiv |  | Definition 
 
        | elisa (EIA) and western blot to confirm |  | 
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        | ((140-age)x weight)/ 72x Scr and x .85 if female |  | 
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        | male is 50+2.3(in over 5 ft.) female is 45.5 +2.3(in over 5 ft) |  | 
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        | IBW+.4(actual - IBW) use adjusted body weight when actual is >120 % of IBW actual/ibw x100  |  | 
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        | BUN:Scr ratio of > 20:1 means... if between 10 - 20 means... |  | Definition 
 
        | dehydration; volume depletion- pre renal intrinsic kidney damage  |  | 
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        | what do you use to estimate GFR? |  | Definition 
 
        | MDRD- modification of diet in renal disease |  | 
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        | rbc's in urince could mean... |  | Definition 
 
        | glomerulonephritis (kidney filter function is damaged) infection renal infarction papillary necrosis tumors stones coagulopathies  |  | 
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        | wbc's in urine could mean |  | Definition 
 
        | uti glomerulonephritis intersitial nephritis ( inflammatory conditions) |  | 
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        | protein in urine could mean...   |  | Definition 
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