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Lab Values
N/A
58
Nursing
Graduate
03/14/2012

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Cards

Term
Specific Gravity
Definition
When low, urine looks clear, high looks dark/concetrated.

Range: 1.010-1.030
Term
Hgb
Definition
Essential protein that combines with O2.

Range:
Females: 12-16 g/dL
Males: 14-18 g/dL
Term
At what H/H do you transfuse?
Definition
8 g/dL & 24%
Term
Hct
Definition
Packed cell volume; measures ml of RBcs per dL of blood in percent.

Range:
Females (nongravid): 37-47%
Males: 40-54%
Term
RBC
Definition
# of circulating erythrocytes in blood; regulated by erythropoeisis in the bone marrow.

Range:
Females (nongravid): 4.0-5.5 million/uL
Males: 4.5-6.2 million/uL
Term
Ratio of Hgb:Hct
Definition
1:3
Term
5 types of WBCs
Definition
Monocytes, Lymphocytes, Granulocytes (Neutrophils, Eosinophils, Basophils)
Term
WBC
Definition
Elevated with: anemia, abscess, infection, trauma, hemorrhage, exercise, menstruation.

Decreased: anemia, influenza, SLE, drug toxicity, bacterial infections (elderly), aged adults, immunocompromised.

Range: 5,000-10,000/uL
Term
Neutrophils
Definition
Most numerous. Engulfs bacteria via phagocytosis.
Term
Lymphocytes
Definition
Provides the 2nd line of defense.

2 types:
T cells: formed in the thymus and initiate immunity in delayed hypersensitivity.
B cells: formed in the bone marrow and defend against virulent encapsulated bacterial pathogens (HIV lives here).
Term
Monocytes
Definition
Clean up "all purpose" cells. Remove pus and cellular debris. May ingest fungi and parasites.
Term
Eosinophils
Definition
Phagocytic bactericidal cells that respond to immune complexes and limit chronic inflammation. Ingest antigen/antibody complexes. Attracted by histamine, associated with allergic/parasitic conditions.
Term
Basophils
Definition
Active in allergic reactions and carry 1/2 of blood histamine. Contain heparin and associated with fibrinolysis.
Term
Bands
Definition
Immature WBCs, mostly neutrophilic.
Term
Shift to the left
Definition
Degenerative shift: Low WBC with increase in immature cells = bone marrow depression.

Regenerative shift: High WBC with many immature cells = increased bone marrow stimulation.

Occurs with: granulocytic leukemia, acute infections, hemorrhage, etc.
Term
Shift to the right
Definition
Hypersegmented neutrophils with more nuclear segments.

Occurs with: liver disease & pernicious anemia.
Term
Atypical lymphocytes
Definition
(aka Virocytes or reactive lymphocytes)

B cells that differ from normal lymphs in morphology. Indicates a reaction to viral infections (i.e. mono, viral hepatitis, viral pneumonia, chicken pox, mumps, rubella, etc.)
Term
Platelets
Definition
150-400,000/uL
Term
MCV
Definition
Average volume and size of RBCs (normocytic, microcytic, macrocytic).

Range: 82-98 fL

MCV = Hct x 10 / RBCs
Term
MCH
Definition
Average amount/weight of Hgb in 1 RBC. Fluctuates with MCV because larger cells have more Hgb.

Range: 26-34 pg

MCH = Hgb x 10 / RBCs
Term
MCHC
Definition
Average percentage of Hgb in 1 RBC (normochromic, hypochromic, hyperchromic).

Range: 31-38%

MCHC = Hgb x 100 / Hct
Term
When can MCHC be elevated?
Definition
With burns or prolonged dehydration.
Term
Iron deficiency anemia: lab values, patients, causes, treatment
Definition
H/H:low, MCV:low, MCHC:low, RBC:low, Ferritin:low, TIBC:high

Patients: everyone
Causes: PICA, vegetarianism, bleeding
Treatments: iron
Term
Thalassemia: lab values, patients, treatment
Definition
H/H:low, MCV:low, MCHC:low, Ferritin:normal, TIBC:normal

Patients: Genetic (Asians, AAs)
Treatments: None
Term
Folic acid deficiency: lab values, patients,treatment
Definition
H/H:low, MCV:high, MCHC:normal, RBC:low, Folate:decreased

Patients: Alcoholics
Treatments: Vitamin B1 and folic acid
Term
Pernicious anemia: lab values, causes, treatment
Definition
H/H:low, MCV:high, MCHC:normal, RBC:low, Folate:normal

Causes: malabsorption (GI)
Treatments: Cyanocabalaman
Term
Anemia of chronic disease: lab values, patients, treatment
Definition
H/H:low, MCV:normal, MCHC:normal, RBC:low, Ferritin:high, TIBC:low

Patients: elderly
Treatments: treat chronic disease, nutritional support, Epogen
Term
Sickle cell anemia: lab values, patients, causes, treatment
Definition
H/H:low, MCV:normal, MCHC:normal, RBC:low

Patients: African Americans, genetic
Causes: Dehydration
Treatments: Hydration
Term
ESR
Definition
Speed that RBCs in anticoagulated blood settle to the bottom of a calibrated tube. Rate is increased with imflammation or tissue necrosis.
Term
Sodium
Definition
135-145 mEq/L
Term
Potassium
Definition
3.5-5.0 mEq/L
Term
Chloride
Definition
96-108mEq/L
Term
CO2 venous
Definition
23-33 mEq/L
Term
BUN
Definition
10-20 mg/dL

(Increased with dehydration or high protein/low carb diet)
Term
Creatinine
Definition
0.5-1.5 mg/dL
Term
Glucose
Definition
60-99 mg/dL
Term
Calcium
Definition
8.5-10.5 mg/dL
Term
Phophorous
Definition
3.5-5.0 mg/dL
Term
Magnesium
Definition
1.3-2.2 mg/dL
Term
Total Protein
Definition
6.4-8.2 g/dL
Term
Albumin
Definition
3.5-5.0 g/dL
Term
Total bilirubin
Definition
0.2-1.2 mg/dL

(Increased with liver problems)
Term
Direct Bilirubin
Definition
0-0.2 mg/dL

(Increased with liver problems)
Term
Indirect Bilirubin
Definition
0-0.9 mg/dL

(Increased with liver problems)
Term
Alkaline phosphatase
Definition
38-148 U/L
Term
AST
Definition
<35-45 U/L
Term
ALT
Definition
<35-45 U/L

(Most accurate for liver problems)
Term
LDH
Definition
100-225 U/L
Term
Uric Acid
Definition
2.2-7.7 mg/dL
Term
Amylase
Definition
0-100 IU/L

(Increased with pancreatitis)
Term
Lipase
Definition
0-200 U/L

(Increased with pancreatitis)
Term
Anion gap
Definition
Calculation of the difference between the serum anions and cations.

(Na + K) - (Cl + HCO3) = 11-17 mEq/L

Decreased with: hypercalcemia, hypermagnesemia, hypernatremia, hypoabluminemia, multiple myeloma

Increased with: high dose antibiotics, volume depletion, metabolic acidosis, lactic acidosis, DKA
Term
Prothorombin Time (PT)
Definition
11-16 sec (1.5-2.5 x normal)
Term
PTT
Definition
30-90 sec (1.5-2 x normal)
Term
APTT
Definition
28-38 sec (1.5-2 x normal)
Term
INR
Definition
<2.0
Term
Fibrinogen
Definition
150-350 mg/dL
Term
D-Dimer
Definition
<8
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