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reference ranges
normative range validated annually
triangulate data
trends of values, critical lab results, age, symptoms, acute vs chronic, disease conditions
CBC stands for
complete blood count
what 5 things are within the CBC
WBC, RBC, hemoglobin, hematocrit, platelets
normal range for WBC adults
5000-10000
what is it called with increased WBC
Leukocytosis
leukocytosis causes
infection, inflammation, bone marrow disease, immune disorders, severe stress/pain
leukocytosis presentation
fever, fatigue, bleeding, bruising, frequent infections
leukocytosis clinical implications
monitor signs and symptoms, consider timing of session due to early morning lows and late afternoon peaks
leukocytosis puts you at increased risk for
cardiac, pulmonary, renal, and neurological involvement (leukostasis)
what is it called with low WBC
leukopenia
leukopenia causes
chemotherapy, radiation, marrow diseases, viral infections, dietary deficiency, autoimmune disease
leukopenia presentation
frequent infections, inflammation/ulcers at mouth, headache, stiff neck, sore throat, fever/chills, night sweats
leukopenia clinical implications
monitor for infections, minitor fatigue, look at BORG RPE and dyspnea scale
WBC function
indentify presence of infection, inflammation, allergens
platelets
helps stop bleeding and forms clot
RBC
transport oxygen to tissues and CO2 to lungs
rbc contain
hemoglobin
hemoglobin
measures oxygen carrying capacity of RBCs
hematocrit
percentage of RBCs in total blood volume
what 2 things often trend in the same direction
hemoglobin and hematocrit
neturophils
majority of WBC and protect against foreign substances
basophils
immune response, particularly to allergies and release histamine
eosinophils
attack parasites and play a role in asthma and allergy
monocytes
migrate into tissues during injury or infection (aka macrophages)
lymphocytes
produce antibodies, fight tumor cells, respond to viral infection
thrombocytosis, thrombocythemia, thrombocytopenia all are involving ___
platelets
leuko means
WBC
erythro means
RBC
polycythemia means
increased hemoglobin
anemia means
low hemoglobin
-cytosis and -cythemia means
elevated
-penia means
decreased