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Peri op Lab values
Lab values for Mod 1 periop
Question | Answer |
---|---|
↑ċ Dehydration, Renal failure, Acidosis, Cellular/tissue damage, & Hemolysis of the specimen. What is the element and Normal lab values? | potassium K+: Labs: 3.5-5.0 mEq (mmol)/L |
↑ċ Infection, Inflammation, Stress, or Tissue necrosis. What is the element and Normal lab values? | White blood cell (WBC) count (leukocyte count): Total: 5,000-10,000/mm3. |
↓ċ Blood loss, ,Anemia, or Renal failure. What is the element and Normal lab values? | Hemoglobin, total Females: 18-44yr 12-16 g/dl, 45-64yr 11.7-16 & 65-74 11.7-16.1: Males: 18-44yr 14-18g/dl, 45-64yr 13.1-17.2, & 65-74 12.6-17.4. |
↑ċ Cardiac or renal failure, HTN, Excess IV fluids ċ NS, Edema, & Dehydration (hemoconcentration) decrease of the fluid content of the blood, with increased concentration of formed elements. What is the element and the Normal LAB values | Sodium NACL: 135-145 mEq/L |
↑ċ Dehydration, Polycythemia, or High altitude. What is the element and Normal lab values? | Hematocrit: Females18-44 yr: 35%-45%; 45-74 yr: 37%-47%: Males:18-44 yr: 42%-52%, 45-64 yr: 39%-50%, 65-74 yr: 37%-51%: |
↑ċ Respiratory alkalosis, Dehydration, Renal failure, Excess IV fluids of NACL, what is the element and normal lab values? | Chloride 98-106, > 90 98-11 |
↑ċ Chronic pulmonary disease, Intestinal obstruction, Vomiting or nasogastric suctioning, & Metabolic alkalosis. What is the element and normal lab values? | Carbon dioxide (CO2): Labs: 23-30; age 60-90: 23-31, >90 23-29. |
↑ċ Hyperglycemia, Excess IV fluids ċ glucose, Stress, Steroid use, & Pancreatic or hepatic disease. What is the element & what are the lab values? | Glucose (fasting) : 70-110 (4.1-5.9 mol): 60-90yr 82-115 (4.6-6.4 mol), >90yr 75-121 (4.2-6.7mol). |
↑ċ Coagulation defect (bleeding disorder), Vitamin K deficiency. What is the element & lab values? | Prothrombin time (pro time, PT) 11-12.5 sec, 85%-100%, or 1:1.1 patient-control ratio. |
↑ċ Coagulation defect (bleeding disorder), Anticoagulant therapy (heparin), or Liver disease. What is the element & normal lab value? | Partial thromboplastin time, activated (aPTT): 30-40 sec. |
↓ċ Atrophy of muscle tissue. What is the element & lab values? | Creatinine, Labs: females: 0.5-1.1: 60-90yr 0.6-1.2; >90yr 0.6-1.3mg/dl: Males 0.6-1.2, 60-90yr 0.8-1.3 & >90 1.0-1.7mg/dl. |
↓ċ NPO status when K+ replacement is inadequate, Excess use of non– potassium-sparing diuretics, Vomiting, Malnutrition, Diarrhea, & Alkalosis, What is the element & Normal lab values? | potassium K+, labs: 3.5-5.0 mEq (mmol)/L |
↓ċ Excessive nasogastric drainage, Vomiting, Excess diuretics, & Diarrhea. What is the element & normal lab value? | chloride 9Cl-): labs 98-106, >90 98-111. |
↑ċ Anticoagulant therapy (aspirin, warfarin). What is the element & normal lab value? | International normalized ratio (INR): 0.7-1.8. |
↑ċ Dehydration, Renal failure, ↑protein diet, Liver failure. What is the element & lab values? | Blood urea nitrogen (BUN): lab values: 10-20, 60-90yr 8-23, & >90 10-31 mg/dl. |
↓ċ Nasogastric drainage, Vomiting or diarrhea, Excessive use of laxatives or diuretics, Excess IV fluids ċ water, & Syndrome of inappropriate antidiuretic hormone (SIADH). What is the element & its values? | Sodium NACL; Normal values 135-145 mEq/L |
↓ċ Hyperventilation, Diabetic ketoacidosis, Diarrhea, Lactic acidosis, Renal failure, & Salicylate (asprin) toxicity. What is the element and lab values? | Carbon dioxide (CO2): Labs: 23-30; age 60-90: 23-31, >90 23-29. |
↓ċ Extensive cancer. What is the element & normal lab value? | International normalized ratio (INR): 0.7-1.8. |
↓ċ Coagulation (clotting) disorder, such as thrombophlebitis or pulmonary embolus, or Extensive cancer. What is the element & normal lab value? | Partial thromboplastin time, activated (aPTT): 30-40 sec. |
↓ċ Coagulation (clotting) disorder, such as thrombophlebitis or pulmonary embolus. What is the element & lab values? | Prothrombin time (pro time, PT) 11-12.5 sec, 85%-100%, or 1:1.1 patient-control ratio. |
↓ċ Hypoglycemia, Excess insulin. What is the element & lab values? | Glucose (fasting) : 70-110 (4.1-5.9 mol): 60-90yr 82-115 (4.6-6.4 mol), >90yr 75-121 (4.2-6.7mol). |
↓ċ Overhydration, Malnutrition. What is the element & lab values? | Blood urea nitrogen (BUN): lab values: 10-20, 60-90yr 8-23, & >90 10-31 mg/dl. |
↑ċ Renal damage ċ lg # nephrons, Renal insufficiency, Acute renal failure, Chronic kidney disease, End-stage kidney disease (ESKD). What is the element & lab values? | Creatinine, Labs: females: 0.5-1.1: 60-90yr 0.6-1.2; >90yr 0.6-1.3mg/dl: Males 0.6-1.2, 60-90yr 0.8-1.3 & >90 1.0-1.7mg/dl. |
↓ċ Blood loss, Anemia, or Kidney failure. What is the element and Normal lab values? | What is the element and Normal lab values? |
↓ċ Immune disorder, or Immunosuppressant therapy. What is the element and Normal lab values? | White blood cell (WBC) count (leukocyte count): Total: 5,000-10,000/mm3. |
↑ċ Dehydration, Polycythemia, Chronic pulmonary disease, or Congestive heart failure. What is the element and Normal lab values? | Hemoglobin, total Females:18-44yr 12-16 g/dl, 45-64yr 11.7-16 & 65-74 11.7-16.1: Males: 18-44yr 14-18g/dl, 45-64yr 13.1-17.2, & 65-74 12.6-17.4. |
The Preoperative Patient:Cardiopulmonary assessment, take & record vital signs; report to doctor if patient has? | Hypo or hypertension, HR < 60 or > 120 beats/min, Irregular HR, Chest pain (Angina), SOB or dyspnea, Tachypnea: > 20RR, or Pulse oximetry < 94%. |
The Preoperative Patient: Assess, Report & Record: Should report to doctor if there is INFECTION S&S which include? | Fever, Purulent sputum, Dysuria or cloudy, foul-smelling urine, Any red, swollen, draining IV or wound site, or Increased white blood cell count. |
The Preoperative Patient: Assess, Report & Record: Should report to doctor if there is S&S that contraindicate surgery such as? | Increased prothrombin time (PT), international normalized ratio (INR), or activated partial thromboplastin time (aPTT), Hypo or hyperkalemia or pregnancy or positive pregnancy test. |
The Preoperative Patient: Assess, Report & Record: Clinical conditions to be evaluated by a physician or advanced practice nurse before proceeding with the surgical plans, include? | Change in mental status, vomiting, Rash, Recent administration of an anticoagulant drug. |