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Sodium
135-145 mEq/L
Emergency below 120 mEq/L (causes seizures and fluid restriction)= fluid overload
>145= dehydration
Potassium
3.5 to 5.3 mEq/L
Calcium
8.5-10.2 mg/dL
Chloride
95-105 mEq/L
Magnesium
1.5-2.5 mEq/L
Phosphorus/phosphate
2.4-4.4 mg/dL
Blood RBC
4.5-5.0 million
WBC
4,000-11,000
Platelets
150,000-400,000/mm3
Hemoglobin Female
11.7-15.5 g/dL
Can drop to 11g/dL in pregnancy
Hemoglobin Male
13.2-17.3 g/dL
Hematocrit Female
35-47%
HCT Male
40-54%
Glucose (Fasting)
70-110 mg/dL
Specific Gravity
1.003-1.030
high stuff=dehydrated
low stuff=diluted
BUN
6-20 mg/dL
Creatinine
0.6-1.3 mg/dL
Lactate dehydrogenase (LDH)
100-190
HDL
> 45 mg/dl (near 60 is better)
Total Cholesterol
130-200
Triglyceride
less than 150 mg/dL
Protein
6.2-8.1
Albumin
3.5-5.0
Hypoalbuminemia is expected in liver cirrhosis
Bilirubin
0.1-1.2 mg/dL
Uric Acid
3.5-7.5
Creatinine phosphokinase (CPK)
21-232 (high=skeletal muscle damage)
International Normalized Ratio (INR)
0.9-1.2
Monitor with warfarin
partial thromboplastin time (PTT)
25-35 seconds
monitor with Heparin injection
Lithium
0.6-1.2 mEq/L
(> 1.5 mEq/L=toxicity.
Therapeutic dosage is 1.0-1.5 mEq/L)
O2 saturation
95-100%
intervene if it is less than 90%
Mean Arterial Pressure (MAP)
70-105 mmHg
65 mmHg is fine to profuse to body
Central Venous Pressure (CVP)
2-8 mmHg
higher CVP=fluid volume overload
HCO3 (bicarbonate)
22-26 mEq/L
>26=metabolic alkalosis
<22= metabolic acidosis
PaCO2
35-45 mmHg
>45=resp acidosis
<35=resp alkalosis
PaO2
80-100 mmHg
pH
7.35-7.45
Neonate's pulse (<4 wks)
110-160 bpm
erythrocyte sedimentation rate
<30 mm/hr
(indicative of active inflammatory disease)
RBC in urine
0-4 per high power
Brain Natriuretic Peptide (BNP)
<100 mg/mL
Indicative of acute heart failure
HDL female
>50mg
LDL
<100 mg/dL
lactic acid
0.5-2.2 meq/L
Greater=inadequate oxygenation (when body breaks down lactate for energy) or the presence of shock
Vancomycin trough level
10-20 mcg/mL
Prothrombin Time (PT)
11 - 16 sec (Warfarin)
General hematocrit
39%-50%
Normal urine output
30 mL/hr or 720 ml/day
Chest tube drainage
If drainage is more than > 100 mL/hr or if drainage becomes bright red all of a sudden call the physician.
Neutrophil count
2200 to 7700 cells/mm3
Normal bp
120/80 mmHg
Hypertension= >130/85
Abdominal obesity (waist)
women >35 inches
Men >40 inches
Infant's Respiratory Rate
30-60 breaths/min
Infant's heart rate
100-160 bpms
if crying- 180bpm
if resting-80/mins
If pulse is less than 60 then deliver rescure breath during emergency.
If still less than 60 after 2 mins, then initiate CPR
PAWP (pulmonary artery wedge pressure)
6-12 mmhg
increased=increased left ventricular preload (indicated left sided HF)
Troponin
<0.5 mg/ml
(If above, this indicates cardiac muscle damage )
-Raises after 4-6 hours after MI onset
Ejection Fraction (EF)
55-70%
Decreased= decreased cardiac output
Neutrophilia
<1500 /mm3
Leukopenia
<4,000 /mm3
-Decrease in circulating white blood cells
low platelet count (intervention level)
<50,000 /mm3
Digoxin hold for infant and young children
Hold if pulse is <90 - 110 bpm
Digoxin hold for older children
Hold if pulse is <70 bpm
Alanine aminotransferase (ALT)
10-40 units/L
increased ALT indicates hepatic dysfunction and could be a side effect of Statins
BMI (body mass index)
Underweight - Less than 18.5
Normal - 18.5 - 24.9
Overweight - 25 - 29.9
Obese - 30 - 39.9
metabolic acidosis causes
-GI bicarbonate losses (eg, diarrhea) (Option 2)
-Ketoacidosis (eg, diabetes, alcoholism, starvation)
-Lactic acidosis (eg, sepsis, hypoperfusion) (Option 4)
-Renal failure (eg, hemodialysis with inaccessible arteriovenous shunt) (Option 5)
-Salicylate toxicity
Fetal Kicks
4 movements /hr, or 10 distinct movements within 2 hours
Fetal Contractions (braxton hicks contractions)
2/hr is normal as long as it is not regular and persist
Hemoglobin A1c
4-6%
uric acid
Male: 4.4-7.6 mg/dl
female: 2.3-6.6 mg/dl
Pressure to keep the patency of the arteriole BP monitoring system
300 mm Hg
Infant's blood glucose
40-60 mg/dL the first 24 hrs of being born
<40= hypoglycemia (indicate by twitch)
Have mother feed, if doesn't work, then IV insulin
Insulin Peak for Lispro (immediate acting)
30 mins to 3 hrs (160 mins)
Insulin Peak for regular insulin (short acting)
2- 5 hours
Insulin Peak for long acting (Glargine)
No peak
Insulin Peak for determir
4-12
Insulin for NPH (intermediate acting)
4-12 hrs
Bp for age 1 to 4 years
80 to 120/130 bpms
Children 5-6years BP
75 to 115 bpms
Children 7-9 years BP
70 to 100 bpms
Children 10 years and older BP
60 to 100
mg to ___ mcg
1 mg = 1000 mcg
1 cup to ___oz
1 cup=8 oz
1 bowl to ___oz
1 bowl to 10 oz
1 tsp = ___ mL
1 tsp = 5 mL
1 tbsp = ___ tsp
1 tbsp = 3 tsp
1 tbsp (T) = ___ mL
1 tbsp= 15 ml
1 quart= ? cups
1 quart=4 cups=120 ml
1 cup=8 oz
1 oz= 30 ml
1 oz= ____ mL
1oz=30 mL