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114 Cards in this Set

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# for WBC
4500-10000

same for women
# for RBC
4.6 - 6.0 men

4.0 - 5.0 women
Purpose of RBC test
to monitor RBC and diagnose blood disorders and blood loss
Low RBC
hemorrhage
anemia
infection
Low WBC
anemia
viral infection
malaria
High WBC
acute infection
tissue necrosis
leukemias
High RBC
polycythemia vera
hemoconcentration/dehydration
high altitude
# for hemoglobin
13.5 -17 men
12-15 women
Purpose of hemoglobin
to monitor hemoglobin value of RBC

to assist in diagnosing anemia

to suggest presence of body fluid deficit
Low hemoglobin
anemia
severe hemorrhage
cirrhosis of live
High hemoglobin
dehydration
polycythemia
high altitudes
Low hematocrit
acute blood loss
anemia
leukemia
# for hematocrit
40-54% men
36-46% women
Purpose of hematocrit
to check volume of RBC in blood

to monitor the volume of RBC in blood during debilitating illness
What does low hematocrit mean?
acute blood loss
anemia
leukemias
# platelets
150,000-400,000
What is purpose of platelet count?
to check the platelet count

to monitor the platelet county during cancer therapy
Low platelets
idiopathic thrombycytopenic purpura

multiple myeloma

cancer
High platelets
polycythemia vera

trauma (surgery, fractures)

postsplenectomy
Purpose of MCV
to monitor RBC count

to differentiate between the components of RBC indices to determina a health problem
# for MCV
80-98
Low MCV
microcytic anemia
iron deficiency
malignancy
rheumatoid arthritis
High MCV
macrocytic anemia
chronic liver disease
hypothyroidism
Which four have to do with polycythemia vera?
High RBC
High platelets
High hematocrit
High hemoglobin
# RDW
11.5 - 14.5
Which tests have different values for women?
RBC
hemoglobin
hematocrit
ALT
What is purpose of RDW?
red cell distrubtion width...varying sizes and shapes cause a rise in this. anemias have a rise. it is used with MCV to predict anemia and other problems with red blood cells
High RDW?
iron deficiency anemia
folic acid deficiency anemia
pernicious anemia
Purpose of total Bilirubin
to monitor bilirubin levels associated with jaundice

to suggest the occurance of a liver disorder
What are the ranges of total bilirubin?
0.1 - 1.2
Low bilirubin
iron deficiency anemia
High bilirubin
obstructive jaundice
infectious mono
liver cancer
What is ALP #?
42-136
Purpose of ALP
to determine presence of a liver or bone disorder

to compare ALP results with other lab tests for confirmation of a liver or bone disorder
Low ALP
hypothyroidism
malnutrition
scurvy
High ALP
obstructive biliary disease (jaundice)

cancer of the liver

heptatocellular cirrhosis
AST range
8-38
ALT range
10-35 males slightly higher
Purpose of AST
AST is an enzyme found mainly in the heart muscle and liver that increases during an acute MI and liver damage.

Compare ALT iwth CK and LDH for diagnosing an acute MI
ALT purpose
to detect the presence of a liver disorder
High AST
acute MI, hepatitis, liver necrosis
Low AST
pregnancy
diabetic ketoacidosis
High ALT
acute liver hepatitis
necrosis of the liver
cirrhosis
Low ALT
exercise
Purpose of albumin
to detect an albumin deficit
# for albumin
3.5 to 5.0
Low albumin
cirrhosis of the liver
acute liver failure
severe burns
High albumin
dehydration
severe vomiting
severe diarrhea
# range for protein
6.0-8.0
purpose of albumin
to differentiate between albumin and globulin
Low total protein
prolonged malnutrition
starvation
low protein diet
High total protein
dehydration
vomiting
diarrhea
# for calcium
4.5 - 5.5
low calcium
diarrhea
malabsorption of calcium from the gi tract
extensive infections
high calcium
hypervitaminosis D
neoplasm of the bone, lung, breast, bladder or kidney
# BUN
5-25
Purpose of BUN
to detect a renal disorder or dehydration associated with increased BUN levels
low BUN
severe liver damage
low protein diet
overhydration
high BUN
dehydration
high protein intake
GI bleeding
glucose #
70-110
low glucose
hypoglycemic reaction
cancer (stomach, liver, lungs)
adrenal gland hypofunction
high glucose
diabetes mellitus
diabetes acidosis
adrenal gland hypterfunction (Cushing's syndrome)
# for Chloride
95-105
purpose of chloride
to check the CL level in relation to K, Na and acid base balance
low Cl
vomiting
gastric suctioning
diarrhea
high chloride
dehydration
hypernatremia
hyperparathyroidism
# for sodium
135-145
low sodium
vomiting
diarrhea
gastric suction
high sodium
dehydration
severe vomiting and diarrhea
congestive heart failure
# for potassium
3.5-5.3
low potassium
vomiting/diarrhea
dehydration
malnutrition/starvation
high potassium
oliguria/anuria
acute rental failure
iv potassium fluids
CO2 #
22-30
purpose of CO2
to check for the presence of metabolic acidosis or alkalosis
low co2
metabolic acidosis, diabetic ketoacidosis, starvation
high CO2
metabolic alkalosis
severe vomiting
gastric suctioning
List WBC in orde of concentraiton
neutrophils
lymphocytes
monocytes
eosinophils
basophil
% of neutro
50-70
% of lymph
25-35
% of mono
4-6
% of eosionpil
1-3
% of basophils
.4-1.0
which wbc up with viral?
lymph
mono
Which WBC down with stress?
eosinophils
basophils

*so if you are stressed out with your allergies, maybe your nose won't run....hjahah
Which WBC up with allergic reaction?
eosinophils
low neutrophils
viral diseases
leukemias
agranulocytosis
high neutrophils
acute infections
inflammatory diseases
tissue damage
low lymphocytes
cancer
leukemia
adrenocortical hyperfunction
high lymphocytes
lymphocytic leukemia
viral infections
chronic infections
low monocytes
lymphocytic leukemia
aplastic anemia
high monocytes
viral diseases
parasitc diseases
monocytic leukemia
low eosinophils
stress: burns, shock, adrenocortical hyperfunction
high eosinophils
allergies
parasitic disease
cancer
low basophils
stress
hypersensitivity reaction
pregnancy
high basophils
inflammatory process
leukemia
healing stage of infection or inflammation
parasitic diseases, which WBC are high?
eosinophils
monocytes
which tests are HIGH with diarrhea?
albumin
protein
which test has highs and lows depending on whether the vomiting or diarrhea is normal or severe?
sodium
# specific gravity of urine
1.005-1.030
Low specific gravity of urine
diabetes insipidus
excess fluid intake
renal disease
High specific gravity of urine
decreased fluid intake
fever
administration of IV dextran or albumin
# ph urine
4.5-8 (6 is average)
low ph urine
metabolic acidosis
respiratory acidosis
starvation
high ph urine
bacteruria
uti
drug influence
presence of glucose in urine
diabetes mellitus
CNS disorders (stroke meningitis)
anesthesia
# protein urine
2-8
high protein
exercise
severe stress
fever
acute infectious disease
low protein
very diluted urine
ketones in urine
ketoacidosis, starvation, a diet high in protein and low in carbs
WBC high in urine
UTI
fever
strenuous exercise
RBC urine #
1-2
WBC urine #
3-4
Bile in urine
obstructive biliary disease
liver disease
CHF with jaundice
What would cause RBC in urine?
kidney trauma
renal disease