ATI - normal lab values

Potassium

3.5-5.0 mEq/L

sodium

135-145 mEq/L

Calcium

9.0-10.5 mg/dL

Magnesium

1.3-2.1 mEq/L

Glucose

60-110 mg/dL

RBC Male

4.6-6.2 million/uL

increase: chronic hypoxia, polycythemia

decrease: anemia or hemorrhage

RBC Female

4.2-5.4 million/uL

increase: chronic hypoxia, polycythemia

decrease: anemia or hemorrhage

WBC

5,000-10,000 uL

HGB Male

14-18 g/dL

increase: chronic hypoxia, polycythemia

decrease: anemia or hemorrhage

HGB Female

12-16 g/dL

increase: chronic hypoxia, polycythemia

decrease: anemia or hemorrhage

HCT Male

42-52%

increase: chronic hypoxia, polycythemia

decrease: anemia or hemorrhage

HCT Female

37-47%

increase: chronic hypoxia, polycythemia

decrease: anemia or hemorrhage

PTT

30-45 seconds

monitor heparin therapy

Platelets

150,000-400,000/mm3

decrease: bone marrow suppression, autoimmune disease, asparin treatment

PT

9.5-12.0 seconds (she had different numbers)

monitor coumadin and warfarin therapy (1.5-2 times control)

ESR

females: 1-20

males: 1-13

Therapeutic INR

2-3

Therapeutic PT

1.5-2 x control = 14.25-24 seconds

Therapeutic PTT

24-100 seconds

INR

0.7-1.8

Albumin

3.5-5.0 g/dL

decrease may indicate hepatic disease

Ammonia

15-110 mg/dL (35-65 is Hogan)

elevated in liver disease

Bilirubin

0.3-1.0 mg/dL

increased: altered liver function, bile duct obstruction or other hepatobiliary disorders

Protein

3-5 g/dL

Urine specific gravity

1.010 - 1.030

Urine pH

4.6-6 (she said 8?)

Decreased: DI, diuretics, execesive water intake

Increased: DM, hypobolemia, Liver disease, SIADH

What should not be found in normal urine (4)

glucose (DM) , RBCs (Glomerulonephritis), WBCs (Infection), Albumin (Glomerulonephritis), Ketones (DKA, Acidosis)

bacteria in urine

< 1000 colonies/mL

creatinine males

0.6-1.2 mg/dL

creatinine females

0.5-1.1 mg/dL

BUN

10-20 mg/dL

GFR

90-120 mL/min

digoxin level

0.8-2 mg/dL

lithium level

0.4-1.0 mEq/L

magnesium sulfate level

4-8 mg/dL

phenobarbital

10-30 mcg/mL

theophylline

10-20

HbA1c

Normal 3.5-6

DM Control 7.5-8.9

Poor Control 9+

pH blood

7.35-7.45

PCO2

35-45 mm Hg

HCO3

22-26

CVP

2-8

phosphorus

3.5-4.5 mg/dL

chloride

98-106 mEq/L

creatinine

females: 0.5-1.1 mg/dL

males: 0.6-1.2 mg/dL

total protein

3-5 g/dL

aPTT

20-35 sec

aPTT therapuetic

Heparin Therapy 1.5-2.5 times control (20-35 sec)

Clotting time

8-15 minutes

HCT compared to HGB

HGB is 3x HCT (parallel

Cholesterol (total)

<200 mg/dl

LDL

<130 mg/dl

HDL

30-70 mg/dl

Triglycerides

<200 mg/dl

Creatine Kinase (CK) Males

Males (55-170 u/L)

Creatine Kinase (CK) Female

Females (30-135 u/L)

Creatine Kinase (CK)

Rise 4-6 hr after MI/Muscle death

Cardiac Troponins

Rise 3 hours after MI

Cardiac Troponins (I)

Troponin I 0.1-1.0 ng/ml

Cardiac Troponins (T)

Troponin T 0.2-1.0 ng/ml

Serum Osmolality

280-296 mOsm/kg water

Urine osmolality

500-800 mOsm/kg water

Extreme 50-1400 mOsm/kg water

FHR

120-160 bpm

Lead

<10 normal

10-19 Hx needed

>19 Treatment

Gestational Diabetes

50g then 1hr (130-140+)

100g then 3hr (130-140+)

Newborn Vitals

RR 30-60 (irregular)

HR 110-160 (irregular) +180 crying

BP 60-90/40-60

Weight 2500-4500grams (5.5lbs-9lbs)

ABGS

pH 7.35-7.45

PaO2 80-100 mm HG

PaCO2 35-45 mm HG

PaHCO3 22-26 mEg/L

T4

4.5-11.5 mcg/mL

T3

80-200 ng/dL (more accurate diagnosis)

TSH

0.5-4

ALT

10-25 u/L

AST

8-38 u/L

Amylase (Panc)

25-151

CHO Digestion

Lipase (Panc)

10-140

Break down Fatty Triglycerides

Prealbumin

12-50 mg/dL

Therapuetic Levels (Digoxin, Lithium, MgSulfate)

Digoxin 0.5-2

Lithium 0.5-1.3

Mg Sulfate 4-7

Mild vs Severe Preeclampsia

Mild BP 140-90, 20 Weeks, Proteinuria 1-2+

Severe BP 180/110, Proteinuria 3+

BMI

Underweight 18.4-

Normal 18.5-24.9

Overweight 25-29.9

Obese 30+

Pregnancy Diet

+300 cal/day Pregnant

+500 cal/day Breast Feeding

Pregnancy Weight Gain

Under 28-40lbs

Normal 25-35 lbs

Over 15-25 lb

Obese 15-

Diet

Fiber 20-35 g/day

Protein 10-20%

CHO 55-60%

Fat <10%

Newborn Conditions

Temp 97.6-99.2

Hyperbillirubin 13-15

Hypoglycemia <35