Saunder's Lab Values

Front 1

Sodium (Na+)?

Back 1

135-145 mEq/L

Front 2

Potassium (K+)?

Back 2

3.5-5.1 mEq/L

Front 3

Chloride (Cl-)?

Back 3

98-107 mEq/L

Front 4

Bicarbonate (venous) (HCO3-)?

Back 4

22-27 mEq/L

* pH = 7.35-7.45
PCO2 = 35-45 (same as pH)
HCO3 = 22-27 (2227)

Front 5

aPTT (activated Partial Thromboplastin Time)?

Back 5

20 to 36 seconds

*(1.5-2.5x normal if client is receiving Heparin)

Front 6

PT & INR (Prothrombin Time & International Normalized Ratio)?

Back 6

PT = 9.6-11.8 sec (M)
9.5-11.3 sec (F)

INR = 2-3 Standard Warfarin (Coumadin)
INT = 3-4.5 = High-Dose Warfarin (Coumadin)

*Oral anticoagulation = PT x 1.5-2

*PT > 30secs = risk for hemorrhage

Front 7

How many platelets?

Back 7

150,000 - 400,000 cells/µL

Front 8

Hemoglobin?

Back 8

14-16.5 g/dL (M)
12-15 g/dL (F)

Front 9

Hematocrit?

Back 9

42-52% -M
35-47% -F

Front 10

Iron (Fe)?

Back 10

65-175 mcg/dL (M)
50-170 mcg/dL (F)

Front 11

CK (Creatine Kinase)?

Back 11

25-174 units/L

*CK-MB = Cardiac
*CK-MM = Muscle Skeletal
*CK-BB = Brain

Front 12

LDH (Lactate dehydrogenase)?

Back 12

140-280 U/L

*LDH1 and LDH2 are affected in acute myocardial infarction

*LDH increases 24° after MI, peaks 48-72°, returns to normal 7-14 days

Front 13

Troponin I and Troponin T values that indicate MI?

Back 13

Troponin I: <0.6 >1.5 ng/mL
Troponin T: >0.1-0.2 ng/mL

Front 14

Albumin?

Back 14

3.4 - 5 g/dL

* Albumin or protein in urine = abnormal renal function

Front 15

Alkaline phosphatase?

Back 15

4.5-13 King-Armstrong units/dL

Front 16

Ammonia?

Back 16

35-65 mcg/dL

Front 17

Amylase?

Back 17

25-151 units/L

*Peak 24 hours, normal 2-3 days

* ACUTE Pancreatitis = 5x normal
* CHRONIC Pancreatitis = doesn't exceed 3x normal

Front 18

Lipase?

Back 18

10-140 units/L

*Elevated in pancreatic disorders; may not occur until 24-36 hours and may stay elevated to 14 days

Front 19

Bilirubin

Back 19

<1.5 mg/dL

Front 20

Cholesterol (Lipids)?

Back 20

140-199 mg/dL

FASTING REQUIRED 12 HOURS!

Front 21

LDLs (Lipids)?

Back 21

< 130 mg/dL

[L]DL = LOW LOSER = BAD!
FASTING REQUIRED 12 HOURS!

Front 22

HDLs (Lipids)?

Back 22

30-70 mg/dL

[H]DK = HEAVEN = GOOD!
FASTING REQUIRED 12 HOURS!

Front 23

Triglycerides

Back 23

< 200 mg/dL

Kind of like Cholesterol (< 200 = Good)

Front 24

Protein (Albumin and Globulins)?

Back 24

6-8 g/dL

UP in Addison's, chronic infection, Crohn's

DOWN in burn, liver disease, cirrhosis, edema

Front 25

Uric acid?

Back 25

4.5 - 8 mg/dL (M)
2.5 - 6.2 mg/dL (F)

Front 26

Glucose (fasting and capillary)?

Back 26

Fasting: 70-110
Capillary: 60-110

WITHHOLD INSULIN

Front 27

GTT (Glucose Tolerance Test) Time and Value?

Back 27

mg/dL
Base: 70-110 (same as fasting)
30m: 110-170
60m: 120-170
90m: 100-140
120m: 70-120

WITHHOLD INSULIN

Front 28

Glycosylated hemoglobin A(HbA1c)?

[Blood glucose bound to Hemoglobin]

Back 28

<7.5% GOOD
7.6-8.9% FAIR
>9% BAD

Front 29

Creatinine?

Back 29

0.6 - 1.3 mg/dL

AVOID EXERCISE 8 HOURS PRIOR
AVOID RED MEAT 24 HOURS PRIOR

Higher = Low glomerular filtration

BUN:CREATININE RATIO 20:1

Front 30

BUN (Blood Urea Nitrogen)?

Back 30

8-25 mg/dL

BUN:CREATININE RATIO 20:1

Front 31

Calcium (Ca+)?

Back 31

8.6-10 mg/dL

* Works with Mg

Ca+
K+
Mg

Front 32

Magnesium (Mg)?

Back 32

1.6-2.6 mg/dL

* Works with Ca+

Front 33

Phosphorus (P)?

Back 33

2.7-4.5 mg/dL

Front 34

TSH (Thyroid-stimulating hormone)?

Back 34

0.2 - 5.4 microunits/mL

Front 35

Thyroxine (T4)?
Triiodothyronine (T3)?

Back 35

T4: 5-12 mcg/dL
T3: 80-230 ng/dL

*T4 converts to T3
*Synthroid (Levothyroxine) is lifelong Tx

Front 36

WBC Count?

Back 36

4,500 - 11,000 cells/µL
or 4.5 - 11 k

Front 37

CD4+ T cell counts?

Back 37

500-1600 GOOD
200-499 PROBLEMS OCCUR
<200 FULL BLOWN AIDS

CD4+ to CD8+ RATIO is 2:1

Front 38

Urine Specific Gravity?

Back 38

1.016 - 1.022