NPTE Lab Values and Other numbers to remember for the NPTE

Sodium

135-145 mEq/L

Potassium

3.5-5.0 mEq/L

Hypokalemia- flattened T waves and ST depression and BLE cramping

Calcium

9-11 mg/dL

BUN

10-20 mg/dL

Elevated= dehydration, renal failure, or heart failure

Hemaglobin (Hgb)

Females: 12-16 g/dL

Males: 14-17 g/dL

-Pt with decreased Hgb have decreased O2 carrying capacity so they are getting less oxygen

Abnormal Values:

-Increased Hgb= polycythemia (thicker blood), dehydration, shock

-Decreased Hgb= anemias, prolonged hemorrhage, RBC destruction (Sickle Cell)

Can result in decreased exercise tolerance, increased fatigue and tachycardia

<8 g/dL: no exercise, only ADLs, consult with physician

8-10 g/dL: ADLs, light exercise

>10 g/dL: ambulation and self care as tolerated, resistance and aerobic exercise

Hematocrit (Hct)

Females: 36-46%

Males: 45-49%

Abnormal Values:

-Increased= erythrocytosis (high concentration of RBCs) dehydration and shock

-Decreased= severe anemia, acute hemorrhage

Can result in decreased exercise tolerance, increased fatigue and tachycardia

<25%: ADLs

25-35%: ADLs, light aerobics and light weights

>35%: Ambulation

FITT for Resistance Training

F: 2-3 days per week

I:

-Mod-vig 60-70% 1RM

-Vig for experienced >80% 1RM

-older adults and beginners that were sedentary 40-50% 1RM

-<50% for muscular endurance

-20-50% 1RM for older adults for power

T: no specific time

T: multi-joint first then single-joint

Reps:

-8-12 for strength and power power adults

-10-15 for strength in middle ages and older adults starting

-15-25 for endurance

Sets:

-2-4 sets most adults

Rest:

-2-3 min between sets

-more than >48 hours between sessions

FITT for cardiorespiratory endurance

F: > 5 days/week mod or >3 days/week vig

I:

-5-6/10 RPE mod

-7-8/10 RPE vig

T:

->30-60 min

-20-60 min for vig

-weight loss 45-60 min

WBC

Normal= 4300-10,800 cells/mm3

Abnormal Values:

-Increased= indicates infection - bacterial, viral, inflammation, hematological malignancy (leukemia), lymphoma, corticosteroids

-Decreased: aplastic anemia, B12 or Folate deficiency (immunosuppressed pt)

<5000 with fever: no exercise

>5000: light exercise

Platelet count

Normal= 150,000-450,000 cells/mm3

Abnormal values:

-Increased: thrombocytosis (too many platelets), indicates severe hemorrhage, surgery, iron deficiency, caner (leukemia)

-Decreased: thrombocytopenia (not enough), acute leukemia, aplastic anemia, cancer chemotherapy

<20,000: AROM, ADLs only

20,000-30,000: light exercise

30,000-50,000: moderate exercise

INR

Normal: 0.9-1.1

For patients with DVT, PE, Mechanical valves, A-fib on anticoagulant tx= Target INR 2-3

>2.5: guard against falls

>3.0: risk for hemarthrosis

>4.0: Increase exercise routine is contraindicated

>6.0: best rest until resolved

Glucose:

Normal: 100-250 mg/dL

<70 mg/dL: no exercise give snack

70-100 mg/dL: no exercise until snack and recheck 15 min

250-300 with ketones in urine: EMS!!

250-300 without ketones: exercise at caution

>300 with or without sx or ketones= no exercise EMS

Erythrocyte Sedmentation Rate

Normal=

M: 0-15 mm/hr

F: 0-20 mm/hr

Abnormal values:

-increased: indicates presence of rheumatic condition (HIV, systemic infection, Polymyalgia Rheumatica, Hodgkin's lymphoma, systemic lupus erythematosus, osteomyelitis, pelvic inflammation

Prothrombin time

Normal= 11-15 seconds

Abnormal:

-Increased: X deficiency, hemorrhagic disease, cirrhosis, hepatitis drugs (warfarin)

Cervical Spine ROM

Flex: 80-90

Ext: 70

SB: 20-45

Rot: 70-90

Thoracic Spine ROM

Flex: 20-45

Ext: 25-45

SB: 20-40

Rot: 35-50

Lumbar Spine ROM

Flex: 40-60

Ext: 20-35

SB: 12-20

Rot: 3-18

Percent amount of O2 a pt is getting if they are on NC per liter increment

1L= 25% O2

2L= 29% O2

3L= 33% O2

4L= 37% O2

Remember Room air is 21% so basically you add 4% to get the amount