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Clinical Lab
Chem II
43
Medical
Graduate
09/13/2010

Additional Medical Flashcards

 


 

Cards

Term
Basic Metabolic Panel
Definition
What is a Medicare approved panel and is common terminology in most hospitals?
Term

Glucose, Creatinine, BUN, Chloride, Potassium, Sodium, CO2 and Calcium

 

 

*Mostly Glucose and Kidney Fxn

Definition
What is included in the Basic metabolic panel?
Term
Albumin, Alk. Phosphate, AST, Globulin, ALT, Total Bilirubin, Protein
Definition
The comprehensive metabolic panel is going to be the basic metabolic panel plus what?
Term
Potassium
Definition
What controls cellular osmotic pressure?
Term
Potassium
Definition
What helps to regulate the acid/base balance?
Term
Hydrogen
Definition
What ions are substituted for K+ and Na+ in the renal tubule?
Term
in the cell
Definition
Where is most of the K+ concentrated?
Term
Distal Tubule
Definition
Where is K+ secreted from?
Term
Aldosterone
Definition
Under the influence of _____, the kidneys preserve Na+ by wasting K+.
Term
Hypokalemia
Definition
Hyperaldosteronism, Renal disease, CHF, decrease in intake, and Insulin all cause what?
Term
Na+
Definition
What is the major extracellular cation?
Term
Na+
Definition
What accounts for 90% of osmotically active solute in plasma and interstitial fluid?
Term
water balance
Definition
Determination of Na+ levels detect changes in what?
Term
135-145 mEq/L
Definition
What are the normal adult values for Na+?
Term
Severe Neurologic Symptoms
Definition
If your Sodium levels of your pt was 100, what signs would you be looking for?
Term
Cardiovascular and renal symptoms
Definition
What would you worry about if your pts Na+ was above 155?
Term
98-106 mEq/L
Definition
What is a normal adult chloride level?
Term
Chloride
Definition
What is the major extracellular anion?
Term
7.35-7.45
Definition
What is a normal pH level for an adult?
Term
HCO3 & PCO2
Definition
pH is a function of the ratio of what two things?
Term
a Fall in HCO3
Definition
What is a rise in metabolic acidosis caused by?
Term
a rise in PCO2
Definition
What is respiratory acidosis caused by?
Term
ketoacidosis, lactic acidosis, poisoning, renal failure
Definition
An Anion gap >12 mmol/L is usually due to what?
Term
anion gap acidosis
Definition
What results from HCO3 GI tract or kidney (Renal tubular acidosis, urinary obstruction) or rapid volume expansion with saline containing solutions?
Term
GI loss
Definition
Negative anion gap suggests what?
Term
Urea
Definition
 What is the final breakdown product of protein metabolism and is excreted at a rate proportional to the GFR?
Term
liver
Definition
Where is BUN made?
Term
BUN
Definition
 What measures the serum nitrogen portion on urea and it is used as a gross index of glomerular filtration rate (inversely proportional)?
Term
7-18 mg/dl
Definition
What is a normal adult BUN?
Term
BUN/Creatinine
Definition
Which ratio helps to distinguish between possible causes of uremia?
Term
10:1 - 20:1
Definition
What is a normal BUN:Creatining?
Term
dehydration
Definition
BUN:creatinine levels above 20:1 usually indicate what?
Term
in the bone
Definition
Where is 99% of the calcium stored in the body?
Term
albumin
Definition
1/2 of serum Ca+ is bound to what?
Term
Calcium
Definition
 What plays a vital role in coagulation, nerve transmission, excitability of cardiac/skeletal muscle?
Term
PTH & Vitamin D
Definition
What two things help to maintain a narrow range of Calcium?
Term
bone, kidney, intestine
Definition
What are the target organs for PTH and Vitamin D?
Term

8.4-10.2 mg/dl

 

4.65-5.28 mg/dl

Definition

What is a normal total adult calcium level?

 

Normal Ionized level?

Term

>13 mg/dl

 

*would look for coma, cardiotoxicity, arrhythmias

Definition
What is the highest panic value for total calcium?
Term
Purine
Definition
 What turnover constantly occurs so Uric Acid is produced continually (synthesized in liver ands filtered in kidney)?
Term
Gout
Definition
What results from idiopathic increase of uric acid?
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