Medex Yakima Tech Skills Cmp Labs Objectives

Front 1

blood test that provides information on liver and kidney function as well as electrolytes

Back 1

CMP

Front 2

What test is good for monitoring and diagnosing DM?

Back 2

Glucose

Front 3

What two parameters for blood sugars signify a diagnosis of DM?

Back 3

fasting >126 and two hours after glucose load >200

Front 4

what four components within the CMP make up the electrolyte panel?

Back 4

K+, Na+, Cl, CO2

Front 5

Which four components of the CMP tell about liver function?

Back 5

ALT, AST, ALP, Bilirubin

Front 6

What does creatinine tell you about a patient?

Back 6

it diagnosis impaired renal function, and is a catabolic product of creatine phosphate from skeletal muscle.

Front 7

Liver problems do not affect BUN. True or False

Back 7

False, liver problems can minimally affect BUN

Front 8

Total Protein is a combination of?

Back 8

GAP-Globulins, Albumin, Prealbumin

Front 9

where is albumin formed? and what does it do?

Back 9

in the liver and it makes up 60% of the total protein, albumin's main purpose is to maintain colloidal osmotic pressure in the blood.

Front 10

Increased albumin levels can mean.

Back 10

patient is dehydrated

Front 11

Decreased albumin levels can mean?

Back 11

liver disease, hepatitis, cirrhosis, hepatocellular necrosis and malnutrition

Front 12

which lab finding is used to evaluate & monitor fluid and electrolyte balance and therapy?

Back 12

Sodium (Na+)

Front 13

Which lab finding within the CMP is especially important for persons taking diuretics and heart medications?

Back 13

Potassium (K+)

Front 14

Which electrolyte is important in maintaining membrane electrical potential ie neuromuscular cells.

Back 14

K+

Front 15

Which serum electrolyte is a major extracellular anion, serves as a buffer to assist in acid base balance and affects water balance?

Back 15

Chloride

Front 16

What can an increased chloride level mean?

Back 16

Dehydration

Front 17

What can a decreased chloride level mean?

Back 17

overhydration

Front 18

Increased levels of CO2 signify ...

Back 18

metabolic acidosis, ketoacidosis

Front 19

If a pt presents with jaundice and you order a CMP and it comes back with normal ALT, what could be going on with this pt?

Back 19

RBC hemolysis

Front 20

If the same patient has an elevated ALT and jaundice, what could it signify?

Back 20

hepatitis, hepatic necrosis, liver failure

Front 21

Used to monitor and identify hepatocellular diseases.

Back 21

ALT

Hint 21

Alanine Aminotransferase

Front 22

Used in the evaluation of suspected coronary artery occlusion and or hepatocellular disease.

Back 22

AST

Hint 22

Aspartate Aminotransferase

Front 23

This enzyme is found in highly metabolic tissue like heart tissue, liver cells and skeletal muscle.

Back 23

AST

Hint 23

Aspartate Aminotransferase

Front 24

The higher the level of AST in the blood the greater amount of _______________________.

Back 24

damage has been done to cells.

Front 25

used to evaluate hemolytic anemias in adults and jaundice in neonates

Back 25

bilirubin

Front 26

used to detect and monitor diseases of the liver and the bone and is increased in intra and extrahepatic disorders

Back 26

ALP

Hint 26

Alkaline Phosphate

Front 27

Most sensitive test for Liver Cancer

Back 27

ALP

Hint 27

Alkaline Phosphate

Front 28

increased ALP can be caused by:

Back 28

primary cirrhosis, biliary obstruction, primary or metastatic liver tumor, childhood and fracture repair

Front 29

WHich two test are used to detect inflammation? Which one is more specific?

Back 29

Erythrocyte Sedimentation rate (ESR) and C-reactive protein (CRP). CRP is more specific.

Front 30

Which one of the CRP or the ESR is believed to be of value in predicting coronary events?

Back 30

CRP is also used in evaluating a pt with a MI

Hint 30

C.-Reactive Protein

Front 31

AN acute phase protein used to indicate an inflammatory illness?

Back 31

CRP

Hint 31

C.-Reactive Protein

Front 32

A nonspecific test used to detect acute and chronic inflammation

Back 32

ESR-sometimes not elevated in the face of active disease.

Front 33

calcium normals and indications

Back 33

-evaluates parathyroid function and calcium metabolism

-renal failure

-renal transplantation

Front 34

calcium lab test decreased levels indicate

Back 34

Ricketts
vitamin D deficiency
osteomalacia

Front 35

BUN stands for what?

Back 35

blood urea nitrogen

Front 36

BUN is for what?

Back 36

Indirect and rough measurement of renal function and glomerular filtration

-Urea is formed in the liver as the end product of protein metabolism

-Patients with an elevated bun have azotemia

Front 37

BUN is

Elevated in:

Decreased in:

Back 37

BUN is

Elevated in: RENAL FAILURE

Decreased in: LIVER FAILURE

Front 38

Creatinine (CR) is used for

Back 38

Dx impaired renal function

Front 39

diuretics flush what electrolyte

Back 39

potassium

Front 40

carbon dioxide

-Increased in?

Decreased in?

Back 40

carbon dioxide

-Increased in? ALKALOSIS

Decreased in? ACIDOSIS

Front 41

ALT is
(top left)

Back 41

alanine aminotransferase

Front 42

AST is
(bottom left)

Back 42

aspartame aminotransferase

Front 43

ALP is
(bottom right)

Back 43

alkaline phosphatase

Front 44

ALT (top left)
ID ? Disease

Establishes and monitors ? Disease

Back 44

ALT (top left)
ID ? Disease: the hepaticcell disease

Establishes and monitors ? Disease:
Liver Disease

Front 45

AST (bottom left)

Increased AST indicates ?

Back 45

-Increased AST indicates ?
number of cells damaged

Front 46

AST (bottom left)

is a lab test for what three organs?

Back 46

AST (bottom left)

-is a lab test for what three organs?
= heart muscle
= liver cells
= skeletal muscle cells

Front 47

ALP (bottom right)

Used to detect and monitor diseases of ?

Back 47

ALP (bottom right)

Used to detect and monitor diseases of the liver and bone

Front 48

ALP increases or decreases in childhood/fracture repair?

Back 48

ALP increases or decreases in childhood/fracture repair?

-ALP increases

Front 49

ALP increases or decreases in liver cancer?

Back 49

ALP increases or decreases in liver cancer?

Increases

Front 50

what is the most sensitive test for liver cancer/liver failure
ALP or AST or ALT?

Back 50

ALP

Front 51

what test is given for liver function studies?

Back 51

what test is given for liver function studies?

ALT

Front 52

ESR acronym is

Back 52

erythrocyte sedimentation rate

Front 53

CRP acronym is

Back 53

C.-Reactive Protein

Front 54

ESR identifies what markers

Back 54

Inflammatory Markers

Front 55

which test is more sensitive

ESR or CRP

Back 55

CRP is more sensitive

ESR may not show early-stage increases (active phase)

Front 56

what does ESR show?

Back 56

what does ESR show?

Nonspecific test for:
-acute and chronic infections
-inflammation

Front 57

CRP is for what?

Back 57

CRP is for what?

Acute phase protein marker = indicates inflammatory illness.
-Predicts coronary events

Front 58

cardiac problems are closely associated with what electrolyte?

Back 58

potassium