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34 Cards in this Set

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Elements of CBC
Erythrocyctes, Leukocytes, Thrombocytes
RBC value
4-6 mill/cu mm
WBC value
5,000-10,000/cu mm
Hb
12-16 (15) gm/dl
Hct
40-50%
Leukocytosis causes
Bacterial infection (most common)
Stress
Trauma
Degree of leukocytosis depends on
Severity of problem
Condition of PT's immune system
Leukopenia causes
Viral infection
Immune system overwhelmed
Depressed due to cancer therapies, bone marrow disease, etc.
Leukocytosis is most often due to
elevation of only one type of WBC
Most common WBC's
Neutrophils (40-75%)
Lymphocytes (20-45%)
Tx severe anemia
Blood transfusion
Causes of anemia
Blood loss or reduced production by bone marrow
Occurs when bone marrow is stimulated to make more RBCs
Secondary polycythemia
Pt's with inadequate Hb will have RBC's that look
smaller than normal (microcytic)
lack normal color (hypochromic)
Normal range sodium
137-147 mEq/L
Hyponatremia causes
Diuretics, Kidney problems, diarrhea
Hypernatremia causes
Excessive water loss, renal disease
Hyponatremia effects
Confusion, decreased alertness, muscle twitching, seizures
Normal range potassium
3.5-4.8 mEq/L
Hypokalemia effects
Decreased cardiac output
Hypokalemia causes
Vomiting, diarrhea, diuretics
Hyperkalemia causes
Tissue trauma, renal disease
Hyperkalemia effects
tired, weak, nausea
Hyper/Hypokalemia can cause...
a weakened diaphragm and therefore adversely effect weaning
Normal level Chloride
98-105 mEq/L
Sweat chloride normal
60-80 mEq/L
Sweat chloride >80 mEq/L probably...
CF
Anion gap calculation
Na+ - (HCO3- + Cl- )
Anion gap value
8-16
Anion gap > 16
Metabolic acidosis
Renal Fx is determined by measuring
Blood urea nitrogen (BUN)
Creatinine levels
Normal BUN
<20 mg/dL (may increase for reasons other than kidney failure)
Normal creatinine
0.7-1.3 mg/dl (increases primarily due to kidney failure)
Normal glucose
70-110 mg/dl