NPTE lab values

pH

7.35-7.45

[7.4 in ABG cases]

PaO₂

Newborns: 40-70 torr

Adults under 60: >80-100 torr

Adults over 60: subtract 1 torr from 80 per year, up to 90 y/o

PaCO₂

35-45 torr

[40 in ABG cases]

HCO₃

22-28 mEq/L

SaO₂

>95%

BE

+/- 2 mEq/L

(base excess)

Hb

13.5 - 17.5 [males]

12 - 15.5 [females]

WBC

~ 4-11 K

platelets

~ 150-450 K

RBC

~ 4-6 Mil

BUN

6-20

Blood glucose

70-115 mg/dL (fasting)

- IDs short-term DM mgmt

- DM goal: 80-120

1) Don't exercise a DM pt until...

2) Decrease pre-exercise insulin dose by...

3) Decrease post-exercise insulin dose by...

4) Best time to exercise DM pt is...

5) If BG is lower than ....

6) Don't exercise if BG is higher than...

1) 2-4 hrs after insulin injection (peak insulin concentration)

2) 30-35%

3) 30%

4) 1 hour after meal

5) 70, carbo snack and retest in 15 min

6) 250

Hypoglycemia

<50-60

Hyperglycemia

>180

Glycosylated hemoglobin (HbA1c)

4-6%

IDs long-term DM mgmt

Hematocrit

45-67% [males]

37-48% [females]

<25% = NO THEREX!

25-30% = light THEREX

HR

60-100 BPM

BP

Normal: up to 120/80

Pre-HBP: up to 140/90

HBP Stage 1: up to 160/100

HBP Stage 2: above 160/100

HBP emergency: above 180/110

RR

12-20 breaths/min ADULTS

40-60 NEONATES

At rest, delivery of oxygen is _______times the metabolic demand in a healthy individual.

3-4

Oxygen consumption can increase up to ____fold in response to an exercise stimulus in a healthy individual.

20

Cardiac output can increase up to ____times in response to exercise demand in a healthy individual.

5

6MW test VO₂max values to qualify for transplant

VO₂max:

>14 : qualify for a transplant

6MW test VO₂max values for heart disease

VO₂max:

<20: heart disease

pre-albumin

20-40 mg/dL

malnutrition: <15

short-term gauge of nutrition

albumin

3.5-5.5 g/dL

malnutrition: <3.5

long-term gauge of nutrition

capillary refill time

<3 sec

Rubor of dependency time

- elevate LE 1 min, foot sole goes pale

- lower LE to neutral

normal = rubor in <15 sec

DM blood glucose levels

Fasting: >126 mg/dL

"Casual": >200 mg/dL

Apgar score needing medical attention?

7/10

2 pts each:

- HR >100 BPM

- breathing/crying

- cough/sneeze

- AROM

- color

low platelet counts

-eg CA pts

<20,000

PVC red flags re THEREX?

>3-5 in a row, or 8-10 in 1 min.

Angina red flag re THEREX?

at rest