labs values

lab values

knowledge of multisystems fxn to help confirm a dx and predict pt resp to Rx, expected recover and prognosis

reference range

ranges of values for a given test in healthy people

complete blood count

most common panel order which looks at many components such as RBC, WBC and platelet counts

increased

in a WBC count a ___ count means infection or inflammation is occuring

white blood count

used to identify presence of infection, inflammation or allergens

decreased

in WBC counts a ___ count means there is bone marrow failure or suppression (radiation or chemo_

>11.0 bil/L

if WBC is ___ then activity tol may be dec w any infection —> proceed w symp management and caution

<0.5 bil/L

if WBC is ___ then avoid activities that put pt at risk for infection by disfecting and wearing PPE

hemoglobin count

measures the iron based pigment that binds and transports O2 and CO2

increased

if Hb count is ____ then there is likelihood of hemoconcentration, transfusion, COPD, CHF, congenital HD or pt is acclimatizing to high altitudes

decreased

if Hb count is ___ then there is likelihood of blood loss, hemodilution, nutritional deficiency, renal failure or iron deficiency anemia

true

a pt w a Hb level of 130g/L which then drops to 100g/L may have a bleed somewhere

t or f

false

a pt w a Hb level of 130g/L which then drops to 125g/L may have a bleed somewhere

t or f

10g/L

a drop of more than ____ or units may indicate active bleeding

true

a pt w low Hgb lvls could or may not desaturate w activity

t or f

false

a pt w low Hgb lvls would desaturate w activity

t or f

80-100g/L

if a pt w HgB levels of ____ then avoid high intensity/prolonged exercise and monitor HR

<80g/L

if a pt w HgB levels of ____ then low intensity/short duratin exercise only and monitor HR w caution

true

if pt has a suspected bleed then PT is contraindicated

t or f

false

if pt has a suspected bleed then PT can be done w caution

t or f

platelet count

a count of the amount of cells which startsclotting sequence and plug damaged blood vessels

increased

if platelet count is ____ then likelihood of thrombocytosis w malignancy, post op, rehumatoid arthritis, acute infection, cardiac disease or liver cirrrhosis

decreased

if platelet count is ____ then it is thrombocytopenia w certain drug intake (beta blockers, calcium channel blockers, hereditary cause or DIC

<70 bil/L

if platelet count is ___ then avoid chest percussions/vibrations (chest PT)

<60 bil/L

if platelet count is ___ then do oral suctioning rather than nasal suctioning

40-60 bil/L

if platelet count is ___ then do walking, stationary biking w light resistance or low intensity exercises and ADL practice

20-40 bil/L

if platelet count is ___ then do walking, stationary biking w no resistance or low intensity exercises and ADL practice

10-20 bil/L

if platelet count is ___ then do walking ROM and ADL w supervision

<10 bil/L

if platelet count is ___ then do essential ADLs only w supervision

<5 bil/L

if platelet count is ___ then strict bedrest is recommended

therapeutic range

used for measures of coagulation where a pt is on an anti coagulant to dec risk of clotting

measures of coagulation

a measure of how long it takes for blood to clot in seconds

>3.0 INR

if a measure of coagulation is _____ then exercise is not generally recommended

>5.0 INR

if a measure of coagulation is _____ then physio is generally contraindicated

>110 aPPT

if a measure of coagulation is _____ then exercise not recommended

true

if INR and aPPT is elevated then aggressive chest PT is contraindicated

t or f

false

if INR and aPPT is elevated then aggressive chest PT should be done w caution

t or f

troponin I and T

biomarkers that are released when cardiac injuries (i.e. MI) occur which rise for abt 3 hrs and peaks 14-18 post acute MI

CK-MB

bimarker which is released when cardiac injruy occur which rises abt 4-8 hrs and peaks 24 hrs post acute MI

true

exercise post MI can be done when troponin I or CK MB levels plateau then decrease

t or f

false

exercise post MI can be done when troponin I or CK MB levels plateau

t or f

sodium

an electrolyte which impacts the brain and cognition

increased

if Na+ is ____ then it is hypernatremia which can cause lethargy, weakness, seizures, and dec LOC

decreased

if Na+ is ____ then it is hyponatremia which can cause lethargy, nausea/vomiting, headache, cerebral edema, dec LOC and resp arrest

potassium

an electrolyte which will effect cardiac function

increased

if K+ is ____ then it is hyperkalemia where it can cause malaise, palpitations, muscle weakness and arrhythmias

decreased

if K+ is ____ then it is hypokalemia which can cause muscle weakness, myalgia, paralysis and resp failure

arterial blood gases

measures of rep and metabolic fxn in those w severe breathing problems