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Labs:Diagnostics
Labs:Diagnostics
CARDIOVASCULAR SYSTEM
Normal values of Hemodynamic Readings:
o
o
CARDIAC ENZYMES
Creatine Kinase MB Isoenzyme (CK-MB)
o 0% of total CK (30-170 units/L)
o More sensitive to myocardium
o Elevated levels three days
o First detectable follow myocardial injury 4-6 hrs
o
o
o
o
o
o
ELEVATED 24 hours
First detectable 2 hours following mi
CHOLESTEROL
o <200 mg/dl
o screening test for heart disease
o
o
Triglycerides
o <150 mg/dl
o Evaluating test for arthrosclerosis
GASTROINTESTINAL SYSTEM
o 30-85 iu/l
o : Liver damage
o
creatinine
o
o
o
o
M: 0.6-1.2 mg/dl
F: 0.5-1.1 mg/L
Creatinine clearance
o M: 90-139 ml/min/m2
o F: 80-125 ml/min/m2
o
o
24 hour urine creatinine clearance: 80-140 ml/min
RESPIRATORY SYSTEM
INTEGUMENTARY SYSTEM
MUSCULOSKELETAL SYSTEM
HEMATOLOGICAL SYSTEM
BLOOD TYPE
A
B
AB
O
BLOOD
ANTIGEN
A
B
AB
NONE
COMPATIBILITY
ANTIBODIES
AGAINST
B
A
NONE
A, B
ELECTROLYTES
Sodium: 136-145 meq/L
o
COMPATIBLE
WITH
A, O
B, O
A, B, AB, O
O
Serum RBC
o M: 4.7-6.1 mil/ul
o F: 4.2-5.4 mil/ul
o :
o : Anemia
Iron
o
o
o
o
M: 80-180 mcg/dl
F: 60-160 mcg/dl
: Hemochromatosis, iron excess, liver disorder, megoblastic anemia
: Iron deficiency anemia, hemorrhage
Platelets
o 150,000-400,000 mm3
o : malignancy or polycthemia vera
o : Autoimmune disease, bone marrow suppression, enlarged spleen
Hemoglobin (hgb)
o M: 14-18 g/dl
o F: 12-16 g/Dl
o :
o :
Hematocrit (Hct)
o M: 42-52%
o F: 37-47%
o
o
PT: 11-12.5s
o 85-100%; 1:1 CLIENT CONTROL RATIO
o : EVIDENCE OF DEFICIENCY OR CLOTTING
o : Evidence of Vit K Excess
D-Dimer:
o
o
o
o
o
0.43-2.33 mcg/ml
0-250 ng/dl
measures hypercoagulability of blood
: Clot formation
Neutrophils: 55-75%
o : acute bacterial infections, fungal infections
o : sepsis, radiation therapy, aplitic anemia, chemotherapy, influenza
monocytes 2-8%
o : chronic inflammation, protozoal infections, tb, viral infections
(mononucleosis, mumps, measles)
o : corticosteroids
Eosinophils: 1-4%
o : allergic reaction, parasitic infections, chronic inflammation, hodgkins
o : Stress, corticosteroids
Basophils: 0.5-1.1%
o : leukemia
o : acute allergic/hypersensitivity, hyperthyroidism
HIV
o Stage 1
Cd4 & T lymphocyte count 500 cells/meq/l or more
Cd4 & t lymphocyte % of total lymphocytes 29 or more
o Stage 2
1 or more infections of stage 3
Cd4 & T lymphocyte count 200-499 cells/meq/l
Cd4 & t lymphocyte % of total lymphocytes 14-28
o Stage 3 (AIDS)
Candidiasis of esophagus, bronchi, trachea, or lungs
Cd4 & T lymphocyte count less than 200 cells/meq/l
Cd4 & t lymphocyte % of total lymphocytes less than 14
URINARY SYSTEM
Plasma cortisol
o Test varies according to time of day. Since has diurnal pattern, increased
levels are present early in the morning, and lowest levels occur around
midnight, or 3-5 hrs after onset of sleep
o
o
Salivary cortisol
o <2.0 ng/ml
o Typical value at midnight
o
o
Urinary cortisol
o : hypercortisolism
o
Serum acth
o Typically early morning values are from 25-200 pg/ml
o Early evening values 0-50 pg/ml
o : addisons
o : Cushings
o
ACth stimulation test
o If no increase in cortisol occurs after acth administration, test is + for
addisons or hypocortisolism
o
o
REPRODUCTIVE SYSTEM
TRH
o Relative to baseline
o
o
RAIU
o
o
o
o
o