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Sodium (Na)
135-145 mEq/L
-maintains osmotic pressure and acid base balance
-assists with transmission of nerve impulses absorbed from the small intestine
Potassium (K)
3.5-5.0 mEq/L
-regulates cellular water balance & electrical conduction in muscle cells
-used to regulate cardiac, renal, and gi function
-patients with elevated wbc may have altered k levels
Chloride (Cl)
95-110 mEq/L
-most abundant anion in extracellular fluid
-functions to counter balance cations (sodium)
-aids in digestion and maintaining osmotic pressure
Bicarbonate (HCO3)
22-29 mEq/L
-responsible for maintaining the pH of body fluids
-prolonged tourniquet application before blood draw increases bicarbonate level
aPPT
20-36 SEC
-used to monitor heparin (anticoagulant) therapy
PT
Male: 9.6-11.8 sec
Female: 9.5-11.3 sec
-measures the amount of time it takes for clot formation
Platelet Count
150-400k
-Hugh altitudes, chronic cold weather, and exercise increase platelet counts
Hemoglobin
Male: 14-16.5 g/dl
Female: 12-15 g/dl
Hematocrit
Male: 42-52%
Female: 35-47%
Iron
Male: 65-175 mcg/dl
Female: 50-170 mcg/dl
-mostly found in hemoglobin
RBC
-formed by blood marrow
-lifespan of 120 days
-removed from blood from spleen, liver, and bone marrow
Creatine Kinase (ck)
26-174 units/L
Troponins
-troponin i: > 1.5 indicates MI
-troponin t: > 0.2 indicates MI
-regulatory proteins found in striated muscle (skeletal and myocardial)
Albumin
3.4-5 g/dl
-a waste product from nitrogen breakdown during protein metabolism
Bilirubin
<1.5 mg/dl
-produced by the liver, spleen, and bone marrow
-a byproduct of metabolic breakdown
-total bilirubin rises with any kind of jaundice
Low Density Lipids
<130 mg/dl
-bad cholesterol
High Density Lipid
30-70 mg/dl
-good cholesterol
Protein
6-8 g/dl
-reflects total amount of albumin and goblins in serum
Uric Acid
2.5-8 mg/dl
-elevated amounts deposit in joints and soft tissue and cause gout
Fasting Glucose
70-110 mg/dl
Capillary Blood Glucose
60-110
Glucose Tolerance Test (Oral)
baseline: 70-110
30 min: 70-110
60 min: 110-170
90 min: 100-140
Creatine
0.5-1.3 mg/dl
-very specific indicator of renal function
Blood Urea Nitrogen (BUN)
8-22 mg/dl
Calcium (Ca)
8.5-10.5 mg/dl
-aids in clotting by converting prothrombin to thrombin
Magnesium (Mg)
1.6-2.6 mg/dl
-needed for blood clotting process
Phosphorus (PO)
2.7-4.5
-important for bone formation, energy storage and release, urinary acid base buffering and carbohydrate metabolism
WBC Count
4,500-11,000 cells/mm3
pH
7.35-7.45
*over 90 years: 7.25-7.45
Pa CO2
35-45 mmHg
Pa O2
> 80-100 mmHg
WBC Count
5,000-10,000 mm3
Erythrocyte Sedimentation Rate
< 20 mm/hr
Total Serum Cholesterol
-desirable less than 200 mg/dl
-less than 150 mg/dl is target range for therapy to reduce risk of CV
Triglycerides
less than 150
Therapeutic INR
2.0-3.0
Ammonia
35-65
Digoxin Level
0.8-2.0 ng/mL
Lithium Level
0.4-1.0 meQ/L
Magnesium Sulfate
-levels are obtained 1 hour after loading dose and then every 6 hours
-the maintenance dosage should be titrated to maintain a level of 4-8
Phenobarbital
10-30
Theophylline
10-20
Hb A1C
5-7