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26 Cards in this Set

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What is the purpose of testing Hematocrit?
To determine the ratio of plasma volume to total blood cell mass.
What are the normal Hematocrit values?
Male adult: 43-49%
Female adult: 38-44%
What are the critical values of Hematocrit?
Less than 18% or greater than 54%
When there are abnormal Hematocrit values, what does that mean?
An increased value means there is disease such as COPD or Polycythemia Vera. It could also mean that there is severe dehydration (low blood volume) or hemorrhage.
A decreased value means the patient is anemic or there is blood loss (acute/chronic)
What is Hemoglobin?
Hemoglobin is the main component of a RBC. It consists of amino acids that form a protein called globin and a compound called heme which contains iron and red pigment. Each RBC contains 200-300 million molecules of hemoglobin.
What is the function of hemoglobin?
To carry oxygen to the cells and to maintain acid base balance.
When Hemoglobin is tested it is to determine if the pt is anemic.
What are the normal values of Hemoglobin?
Adult male: 13.2 - 17.3 g/DL
Adult female: 11.7 - 15.5 g/DL
Older Male: 12.6 - 17.4 g/DL
Older female: 11.7 - 16.1 g/DL
What are the critical values of Hemoglobin?
Less than 6 and greater than 18 g/DL
What does it mean if Hemoglobin is increased?
Hemoconcentration of the blood where circulating fluid volume of blood is decreased means COPD, CHF
What does it mean if Hemoglobin is decreased?
Various types of anemias, fluid volume excess, pregnancy, nutritional deficits
Why is Potassium important?
Important for proper cellular function, especially cardiac cells.
What are considered normal Potassium values?
3.5 - 5.0 mEq/L
What are the critical values of potassium?
Less than 2.5 and greater than 6.5
What would cause an increased potassium value?
Dehydration
Diet
Tissue trauma
Acute Renal Failure
What would cause a decreased potassium value?
Alcoholism
IV therapy w/inadequate K+ supplementation
GI loss (vomiting, diarrhea, NG tube suctioning)
What is the origin of blood glucose?
Glucose is a simple sugar the body metabolizes for most of its energy
What are the normal values of glucose?
Adult: 75-110mg/DL
>60 years old: 80-115 mg/DL
>90 years old: 75-120 mg/DL
What are the critical values for glucose?
< 40 and > 400 mg/DL
What are the factors that would increase glucose?
Diabetes
Severe liver and renal disease
What are the factors that would decrease glucose?
Acute alcohol ingestion
Malabsorption syndrome
Excessive insulin therapy
Starvation
What is the origin of Serum Blood Urea Nitrogen (BUN)?
Urea is a nonprotein nitrogen compound formed as an end product of protein metabolism.
What is the purpose of testing BUN?
BUN levels reflect the balance between the production and excretion of urea.
What are the normal values of BUN?
Adult: 8-21 mg/DL
>90 Years of age: 10-31 mg/dl
What are the critical values of BUN?
100 mg/DL
What are the factors causing an increase in the BUN value?
Acute renal failure
CHF
Hypovolemia
What are the factors causing a decrease in the BUN values?
Inadequate dietary protein intake
Malabsorption syndrome
Severe liver disease