Week 15 online activity 30 points possible Bio Marker/Lab Value Table Student Na e! "#udra Brooks""""""""" $ate!

Septe ber 1%& '013""""""""" Lab test Hemoglobin (Hgb g/dL) Nor al value 13.8-17.2 male, 12.0-16 female .1-#2 male, 3#-.6 female 1 ite 2lood Cell (12C 3 4 103/5L) ,latelet! (3 4 103 5L) ..#-11 Critical ig #0 410/L Critical Lo" 0.# /L 130-.00 Critical ig 666 4 10 /L H- inflammator(, infectio/! $roce!!, Le/'emia L- *$la!tic *nemia, !ide effect! from c emo, radiation H- *c/te infection, gran/loc(te!, Le/'emia, C&L, $re-eclam$!ia, $ol(c(t emia, ac/te blood lo!! L-*lco ol, bone marro" infiltration/re$lacement/!/$$re!!ion, c emo, %7C, H78, Certain medication! H- increa!ed in 1arfarin t era$( 2-3 for ,<, %8=, 0al0/lar eart di!ea!e, H- Cortico!teriod t era$(de (dration, im$aired renal f/nction, $rimar( aldo!teroni!m L- *ddi!on?! di!ea!e, %@*, di/retic t era$(, e4ce!!i0e fl/id lo!! from A7 tract, e4ce!!i0e $er!$iration, "ater into4ication, %7C H-*ddi!on?! di!ea!e, renal fail/re, %@*, ma!!i0e ti!!/e de!tr/ction, C/! ing )(ndrome, diarr ea (!e0ere), %ietar( inta'e L-*7%)B adrenal !/fficienc(, CHC, cirr o!i!, e4erci!e, ea0( !"eating, )7*%H, *C< in ibitor!, t iaDide! H- diarr ea, de (dration, ($er$arat (roidi!m, o0er /!e of normal !aline, renal fail/re, re!$irator( acido!i!
1

#bnor al/(ritical value Critical ig for bot male! and female! 20.0 g/dL Critical lo" #.0 g/dL Critical ig 60Critical Lo" #0-

) plications! *+,at do t,e abnor al/critical values ean- W,at +ould t,e nurse onitor/teac,-. H- $oor controlled %&, c ronic 'idne( di!ea!e, )ic'le Cell *nemia, C+,% L- *nemia, emorr age H- de (dration, ig altit/de! L- anemia, emorr age, o0er (dration

Hematocrit (Hct -)

Critical Lo" #0 /L

Clotting time9 7:; )odi/m (mmol/L)

0.6-1.1 or 1.#-2.# 13#-1.#

Critical ig greater t an # Critical Lo" Critical ig greater t an or e>/al to 160 mmol/L Critical Lo" le!! t an or e>/al to 120 mmol/L

,ota!!i/m (mmol/L)

3.#-#.0 ;enal9 3.0-#.#

Critical ig greater t an or e>/al to 6.# m<>/L Critical Lo" 2.# m<>/L

C loride (mmol/L)

6#-108

Critical ig

11# mg/dL

Critical Lo" 80 mg/dL

Calci/m (mmol/L) (mg/dL)

2.1#-2.#0 8.6-10.0

Critical ig 12 g/dmL Critical Lo" 7 mg/dL

L- adrenal in!/fficienc(, C/! ing?! !(ndrome, %@*, ga!tric !/ctioning, )7*%H, renal fail/re "it !odi/m lo!! and 0omiting H- *l/min/m into4ication, bone cancer, ($er$arat (roidi!m, ,aget?! di!ea!e and renal fail/re L- *lco oli!m, c ronic renal fail/re, magne!i/m deficienc(, 0itamin % deficienc( H-*ddi!on?! di!ea!e, de (dration, renal fail/re, ($er$arat (roidi!m, ($ot (roidi!m L- *lco oli!m, %@*, diarr ea, ($o$arat (riodi!m, incorrectl( ordered =,:

&agne!i/m (mmol/L) (mg/dL)

0.6#-1.0# 1.6-2.#

Critical ig #.0 mg/dL Critical Lo" 1.0 mg/dL

Creatinine mg/dL

0.6-1.# male, 0.#1.0 female #-20

Critical ig Critical Lo"

7.0 mg.dL

H-*lco oli!m, cerebral infraction, malignant ($ert ermia, m/!cle tra/ma, &7, m(ocarditi! LH- b/rn!, de (dration, A7 bleeding, ) oc', renal fail/re, $o!trenal ob!tr/ction, !tre!!, L- infanc(, li0er fail/re, ne$ rotic !(ndrome, o0er (dration, !tra0ation H- de (dration, A7 bleeding, increa!ed cataboli!m L- *c/te t/b/lar necro!i!, ad0anced li0er di!ea!e, lo" $rotein inta'e, rig t after emodial(!i! H- Cirr o!i!, gall!tone!, emol(tic anemia, e$atiti!, li0er meta!ta!i!, !ic'le cell di!ea!e

2lood Erea :itrogen (2E:) (mg/dL) 2E:/Creat. ;atio

Critical ig 66 mg/dL Critical Lo"

10/1

Critical ig Critical Lo"

2ilir/bin (mg/dL)

0.1-1.0

Critical ig *d/lt!- 12 mg/dL 7nfant! 1# mg/dL

,la!ma Al/co!e (mg/dL) $H

70-110

Critical ig .00 mg/dL Critical Lo" #0 mg/dL

H- C/! ing?! !(ndrome, c ronic $ancreatiti!, %& L- adrenocortical in!/fficienc(, ($o$it/itari!m, in!/linomia, malgnanc( H-re!$irator( al'alo!i!, ($er0entilation, incorrect 0entilator !etting!, li0er di!ea!e, !e$!i!, metabolic al'alo!i!, HC+3 admin!tration, di/retic!, 0ol/me de$letion, 0omiting
2

7.3#-7..#

Critical ig 7.## Critical Lo" 7.2#

+2 )at/ration(-) ,a +2 (mmHg)

6#-100 Le!! t an 6080-100 Critical ig Critical Lo"- .# mmHg

L- re!$irator( acido!i!, *nion-ga$ metabolic acido!i!, :on-anion ga$ metabolic acido!i! H- +4(gen a!!i!tance L- alco ol and C+,%, %r/g!9 2arbit/ate!, benDodiaDe$ine!, o$iod! H- o4(gen a!!i!tance L- *lco ol, 8/F mi!matc ing (a!t ma, air"a( ob!tr/ction, atelecta!i!, C+,%, $ne/monia, $/lmonar( emboli!m), H- ;e!$irator( acido!i! from C+,%, m(a!t enia gra0e!, re!$irator( de$re!!ant L- ;e!$irator( al'alo!i! from fe0er, ($er0entilation, incorrect 0entilation !etting, li0er di!ea!e, !$e!i! H-Com$en!ator( re!$irator( acido!i!, metabolic al'alo!i!, 0ol/me contraction L-Com$en!ator( re!$irator( al'alo!i!, metabolic acido!i!, 0ol/me concentration

,aC+2 (mmHg)

3#-.#

Critical ig - 60 mmHg Critical Lo"- 20mmHg

HC+3- (m<>/L)

22-26

Critical ig

.0 m<>/L

Critical Lo" 1# m<>/L

Lab Test

Nor al Value

#bnor al/(riti cal Value

) plications! *+,at do t,e abnor al/critical values ean- W,at +ould t,e nurse onitor/teac,-.

%igo4in = era$e/tic HA2 *1c

)er/m Le0el 0.#-2 ng/ml B6.6

Critical ig 2 ng/ml Critical ig Critical Lo" H- diabete!, ,A, )$lenectom( L- C ronic blood lo!!, c ronic renal fail/re, anemia, H- anore4ia ner0o!a, C/! ing?! !(ndrome, %& (/ncontrolled), ($erli$emia, ($ot (roidi!m, cortico!teroid! L-ac/te e$atiti!, c ronic illne!!, cirr o!i!, ($ert (roidi!m, li0er
3

=otal c ole!terol

122-200 mg/dL

Areater t an 2.0 mg/dL

cancer, ,malab!or$tion, maln/trition, =a( )ac! di!ea!e Hig %en!it( Li$o$rotein! (H%L) - male Hig %en!it( Li$o$rotein! (H%L) - female Lo" %en!it( Li$o$rotein! (L%L)9 &ale 3#-70 mg/dL Le!! t an .0 mg/dL H-*lco ol con!/m$tion, e4erci!e, in!/lin, e!trogen! L- metabolic !(ndrome, renal fail/re, !edentar( life!t(le, !mo'ing !tre!! H-*lco ol con!/m$tion, e4erci!e, in!/lin, e!trogen! L- metabolic !(ndrome, renal fail/re, !edentar( life!t(le, !mo'ing !tre!! H- HC, emol(tic di!order!, e$atiti!, meta!tatic! cancer of li0er, &7, $ernicio/! anemia, ,<, !'eletal m/!cle damage H- de (dration L- c ronic li0er di!ea!e, malab!or$tion, maln/trition, ,A Lit i/m = era$e/tic Le0el t era$e/tic )er/m *mmonia (arterial) *L=/)A,= .6-1.2 me>/L 1#-.0 mcg/dL Areater t an 1.# m<>/L H- A7 bleeding, e$atic ence$ alo$at (, li0er fail/re, renal di!ea!e L- dr/g!9 @anam(cin, lact/lo!e, neom(cin H- *c/te 0iral e$atiti!, alco olic e$atiti! C olangiti!, li0er abce!!, li0er cancer, nonalco olic !teato e$atiti!, ! oc' li0er L- 8itamin 26 deficienc(

Cemale 3#-8# mg/dL

Le!! t an .0 mg/dL

B136 mg/dL G AoodH 1.0-160 mg/dL G acce$tableH I160 mg/dL G too ig time to treat

*bnormal greater t an 160 mg/dL +r le!! t an 130 mg/dL

)er/m alb/min

3.#-# g/dL

8-.0 E/L

total !er/m ,rotein

6.0 - 8.0 g/dL

H- de (dration, mono/$ol(clonal gammo$at ie! L- agammaglob/linemia, b/rn!, c ronic li0er di!ea!e, dietar( $rotein deficienc(, malab!orbtion, ne$ ortic !(ndrome H- anemia, c ronic li0er fail/re, o!teom(eliti!, $el0ic inflammator( !(ndrome, ,A, r e/matic fe0er, tem$oral arteriti! L- CHC, $ol(c(t emia, !ic'le cell anemia
4

<r(t roc(te )edimentation ;ate (<);) &ale9

&ale 0-1# mm/ r

<r(t roc(te )edimentation ;ate (<);) -Cemale9

Cemale 0-2# mm/ r B 2# (/oH 0-30 I 2# (/o

H- anemia, c ronic li0er fail/re, o!teom(eliti!, $el0ic inflammator( !(ndrome, ,A, r e/matic fe0er, tem$oral arteriti! L- CHC, $ol(c(t emia, !ic'le cell anemia H-Cirro o!i!, ($er$arat (roidi!m, renal fail/re, !arcodo!i!, t/mor l(!i! !(ndrome L- alco oli!m, diarr ea, ($ercalcemia, ($er$arat (roidi!m, refeeding !(ndrome, 0itamin % deficienc(
Cerri! )tate Eni0er!it(

, o!$ oro/!

2.#-..# mg/dL

Le!! t an 1 mg/dL

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