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76 Cards in this Set

  • Front
  • Back

tests that determine the amount present compared to a normal value range are called ______

Quantitative

determining potassium levels is an example of a ______ test

Quantitative

tests that report presence or absence of a sample are called ______

Qualitative

2 examples of qualitative tests are:

1. pregnancy tests


2. urine drug tests

tests that report values with varying degrees of positivity, without exact measurement, are called ______

Semi-Qualitative

an example of a semi-qualitative test is a ______ test

Urine glucose: +1, +2, +3

the extent to which the mean measurement is close to the true value is called ______

accuracy

the reproducibility of an assay or the agreement of results with a specimen that is assayed many times

precision

the percentage of positive results in patients with the disease is called ______

sensitivity

high sensitivity means lower chance of a false ______

negative

the percentage of negative results among people who do not have the disease is called ______

specificity

high specificity means lower chance of a false ______

positive

a reference rage is the range of values where ___% of healthy patients fall within ___ standard deviations

95%, 2

3 causes of abnormal lab values are:

1. Excessive or insufficient intake, production, release or secretion of substance
2. Excessive or insufficient outflow from body or metabolism
3. Dilution or concentration of the substance being measured

4 indicators that lab values are abnormal are:

1. Levels do not correlate with the signs and symptoms
2. Results of different tests are conflicting
3. Results vary greatly over a short period of time
4. Single result is extremely higher or lower than normal or expected

the test that has results provided in a fish skeleton is the ______ test

CHEM-7 or BMP

the CHEM-7 evaluates ______, ______, and ______

kidney function, blood acid/base balance, and levels of electrolytes and glucose in blood

the 7 results displayed in a BMP are:

1.Na+


2. K+


3. Cl-


4. HCO3-


5. BUN


6. SCr


7. Glucose

the normal range for Na+ is ______ mEq/L

135 - 145 mEq/L

the normal range for K+ is ______ mEq/L

3.5 - 5.0 mEq/L

the normal range for Cl- is ______ mEq/L

95 - 105 mEq/L

the normal range for HCO3- is ______ mEq/L

22 - 26 mEq/L

the normal range for BUN is ______ mg/dL

8 - 20 mg/dL

the normal range for SCr is ______ mg/dL

0.7 - 1.5 mg/dL

the normal range for glucose is ______ mg/dL

80 - 110 mg/dL

the abundant cation in extracellular fluid is ______

sodium (Na+)

sodium is regulated by the ______, ______, and ______ system

kidneys, CNS, and endocrine system

2 signs and symptoms of hyponatremia are:

1. confusion


2. weakness

5 causes of hyponatremia are:

1. Decreased sodium intake
2. Diuretics
3. Chronic kidney disease
4. Diarrhea, vomiting
5. Excess water intake (dilutional hyponatremia)

4 signs and symptoms of hypernatremia are:

1. Dry mucous membranes
2. Thirst
3. Agitation
4. Convulsions

5 causes of hypernatremia are:

1. Too much sodium from diet or IV fluids
2. Diseases
3. GI loss of free water
4. Sweating
5. Severe burns

the principle intracellular fluid cation is ______

potassium

___% of potassium is excreted in urine

80-90%

serum potassium levels correlate with ______, ______, and ______

nerve conduction, muscle function, heart muscle contraction

4 signs and symptoms of hypokalemia are:

1. Arrhythmias
2. Fatigue
3. Muscle weakness/spasms
4. Tingling/numbness

4 causes of hypokalemia are:

1. Not enough intake from diet or IV fluids
2. Dehydration
3. Hemolysis
4. Medications

2 signs and symptoms of hyperkalemia are:

1. Arrhythmias
2. Muscle weakness/spasms

3 causes of hyperkalemia are:

1. Excess diet and IV intake
2. Renal failure
3. Crushing tissue injury

chloride is found predominantly ______ the cell

outside

hypochloremia is usually caused by ______ and results in ______, ______, and ______

vomiting, muscle twitching, shallow breathing, and hypotension

3 causes of hyperchloremia are:

1. dehydration


2. hyperventilation


3. kidney disorders

hyperchloremia results in ______ and ______

weakness and deep breathing

T/F: creatine is renally excreted

true

4 causes of decreased serum creatine are:

1. Muscular dystrophy


2. atrophy


3. malnutrition


4. aging

the normal range for CrCl is ______ mL/min

90 - 140 mL/min

creatine clearance is calculated using the ______ formula

Cockcroft-Gault [(140 - age) x IBW]/SCr x 72


*multiple final number by 0.85 for females

the formula to calculate Ideal Body Weight is:

Males = 50 kg + (2.3 x # inches over 5 ft)


Females = 45.5 kg + (2.3 x # inches over 5 ft)

the nonprotein, nitrogenous end-product of protein catabolism is ______

blood urea nitrogen

BUN is a measure of of ______ and ______

glomerular filtration and hydration

T/F: BUN is less sensitive than creatine

true

BUN is ______ in end-stage liver failure

decreased

2 causes for increased BUN are:

1. Secondary to kidney disease or urinary obstruction


2. low urine production

2 causes for hypoglycemia are:

1. Insulin overdose,


2. malnutrition

4 symptoms of hypoglycemia are:

1. Sweating (diaphoresis)
2. Tremors
3. Dizziness
4. Coma

3 symptoms of hyperglycemia are:

1. Increased hunger (polyphagia)
2. Increased thirst (polydipsia)
3. Increased urination (polyuria)

the normal range for Ca++ is ______ mg/dL

8.4 - 10.2 mg/dL

the normal range for Mg++ is ______ mg/dL

1.5 - 2.2 mg/dL

the normal range for P is ______ mg/dL

2.6 - 4.5 mg/dL

The 4 liver function tests are:

1. ALT


2. AST


3. Bilirubin


4. ALP

The normal range for ALT is ______ IU/L

3 - 30 IU/L

The normal range for AST is ______ IU/L

8 - 42 IU/L

The normal range for ALP is ______ units/L

30 - 120 units/L

CBC results show the following 4 test results:

1. WBC


2. Hgb


3. Hct


4. PLT

RBC indices include:

1. MCV (mean corpuscular volume)


2. MCH (mean corpuscular hemoglobin)


3. MCHC (mean corpuscular hemoglobin concentration)

the life span of a RBC is ___ days

120

the normal range for RBC count is ______ cells/uL

male: 4.5 - 5.9 x 10^6 cells/uL


female: 4.1 - 5.5 x 10^6 cells/uL

MCV is an index to classify ______ based on size of erythrocyte

anemia

the normal range for MCV is ______ fl/cell

80 - 96 fl/cell

increased MCV values can indicate ______, ______, or ______

macrocytic anemia, Vitamin B deficiency, or Folic acid deficiency

the three types of anemia that can be indicated by decreased MCV are ______, ______, and ______

microcytic anemia, iron deficiency anemia, pernicious anemia

the normal range for MCH is ______ pg/cell

27 - 33 pg/cell

MCH indicates the ______ of hemoglobin in RBCs and is determined by the amount of ______

average weight, color (normochromic, hypochromic, hyperchromic)

the normal range for MCHC is ______ g/dL

33.4 - 35.5 g/dL

MCHC determines the average ______ of ______ in RBCs

concentration of hemoglobin

the most valuable test for evaluating therapy for anemia is ______

MCHC

the normal range for hemoglobin is ______ g/dL

males: 14 - 17.5 g/dL


females: 12.3 - 15.3 g/dL