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RSPT chp 16 egans
clinical and lab data
Question | Answer |
---|---|
Clinical biochemistry | Analysis of blood, urine and bodily fluids |
hematology | Analyzes cellular components of blood |
microbiology | Analysis of blood and other bodily fluids for presence of infectious agents |
immunology | Focuses on autoimmune and immune deficiency diseases |
Anatomic pathology | Analysis of tissue for diagnosing disease |
Complete blood count (CBC) | Counts and examines - leukocytes, erythrocytes, thrombocytes |
neutrophils | Increased with bacterial infection |
lymphocytes | Increased with viral and other infections reduced with immunodeficiency problems |
eosinophil's | Increased with allergic reactions and parasitic infections |
basophils | Increased with allergic reactions |
monocytes | Increased with invasion of foreign bodies |
WBC count above normal | leukocytosis |
WBC count below normal | leukopenia |
Normal range for neutrophils | 40-75 % |
Normal range for eosinophils | 0-6% |
Normal range for basophils | 0-1% |
Normal range for monocytes | 2-10% |
Normal range for lymphocytes | 20-45% |
Bands | Immature neutrophils |
Segs segmented neutrophils | Mature neutrophils |
anemia | Reduced red blood cells |
polycythemia | Abnormal elevation of RBCs |
Normal range for hemoglobin | 12-17 g/dl |
What is an electrolyte | A charged ion that influence the functions of certain enzymes |
List a few electrolytes | Sodium, potassium, chloride, glucose |
renal mediated waste products | creatine and blood urea nitrogen BUN |
Normal range for creatine | 1.5 |
Normal range for BUN | 20-25 |
anion gap normal range | 8-14 mmol/l |
An ion gap | Determines if decrease in HCO3 is caused by disruption of normal an ion balance or presence of abnormal acid anion |
What is lactate | End product of anaerobic glucose metabolism, overproduction or insufficient metabolism results in lactate acidosis |
Pancreatic enzymes | lipase and amylase |
Symptoms of ischemic damage to the heart, brain and muscle tissue | Elevated creatine phosphokinase (CPK) |
thromobocytopenia | Low platelets |
thrombocytosis | Excessive platelets |
How is coagulation tested | prothrombin time (PT), Partial thromboplastin time ( PTT) and (INR) international standardized ratio, D-dimer |
What is a D- DIMER | Found in blood when fibrin clots are dissolving, helps diagnose the presence of deep vein thrombosis, pulmonary embolism |
What kind of drug break up clots | kinase drugs |
Sweat chloride test | Used in cystic fibrosis 40-60 mmol/l is borderline must be used with other tests to confirm diagnosis |
What test is done to determine TB | Acid fast test |