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9 Cards in this Set

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hemoglobin (Hb)

purpose: used to detect iron deficiency anemia




increased levels: hemoconcentration due to polycythemia vera or dehydration




decreased: anemia, recent hemorrhage, hemodilution from fluid retention




Infants (1 – 3days): 14.5 – 22.5 g/dL


Infants (2months):9.0 – 14.0 g/dL


Children (6 –12 years): 11.5 – 15.5 g/dL


Adult Males:14 – 18 g/dL


Adult Females:12 – 16 g/dL

Hematocrit (HCT)

Purpose: measure of cell volume; indicates iron status




Infants (1 – 3days): 44% - 72%


Infants (2months): 28% - 42%


Children (6 –12 years): 35% - 45%


Adult Males:37% - 49%


Adult Females:36% - 46%

Low Density Lipoprotein cholesterol (LDL-C)

purpose: "bad" cholesterol; associated wit increased risk of atherosclerosis and coronary artery disease, major carrier of cholesterol in the blood




Abnormal: Levels 200 –239 mg/dL: moderate risk of coronary artery disease Levels >240mg/dL: high risk for coronary artery disease, heart attack, stroke, peripheralvascular disease




Children &Adolescents: <110 mg/dL


Adults:<130 mg/dL

High Density Lipoprotein (HDL-C)

purpose: good cholesterol; inversely related to coronary artery disease risk




Men: 35 – 65mg/dL


Women: 35 – 80mg/dL

Serum triglycerides (TGs)

purpose: blood fats; screen for hyperlipidemia and risk for coronary artery disease, age related




abnormal: BorderlineHigh: 150 – 199 mg/dLHigh: 200 –499 mg/dL




Ages 0 to 19:10 – 100 mg/dL


Ages 20 – 65:<150 mg/dL

serum proteins (serum albumin)

purpose: common measurement of visceral protein status; better indicator of long term protein status rather than acute protein malnutrition seen during serious illness




abnormal: Low levels dueto protein-calorie malnutrition, altered hydration status, decreased liverfunction.


Moderatevisceral protein depletion: 2.8 – 3.5 g/dL


Severevisceral protein depletion: <2.8 g/dL




Infant (6 mo)–


Adult: 3.5 – 5.5 g/dL

serum transferrin

purpose: iron transport protein; measured by total iron binding capacity. more sensitive indicator of visceral protein than albumin




abnormal:Mild proteindeficiency: 150 – 170 mg/dL


Moderateprotein deficiency: 100 – 150 mg/dLSevere proteindeficiency: <100 mg/dL




Range: 170-250 mg/dL

Prealbumin

purpose:Thyroxine-bindingprealbumin; transport protein for thyroxine (T4) &retinol-binding protein. Sensitive to acute changes in protein status andsudden demands on protein synthesis.




abnormal: Elevated inrenal disease; reduced by surgery, trauma, burns, & infection.


MildDepletion: 10 – 15 mg/dL


ModerateDepletion: 5 – 10 mg/dL


SevereDepletion: <5 mg/dL




Range: 15-25 mg/dL

C-reactive protein (CRP)

purpose: Plasma proteinmarker of inflammatory status produced by liver; used to monitor metabolicstress such as trauma, surgery, or burns and to determine when to beginnutritional support in critically ill patients. Not detectable in healthyindividuals.High-sensitivity CRP (hs-CRP) is used to assessrisk for myocardial infarction.




abnormal: Detectablelevels seen in infections, rheumatoid arthritis, or tuberculosis (inflammatoryconditions). Use of oral contraceptives& last 4-5 months of pregnancy can produce detectable levels. Can increaserisk for atherosclerosis




<0.1 mg/dL