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Lab Cheatsheet

Here are all the lab values RTs will ever need to know. You can carry this around on your clipbord and impress someone with your new wisdom.

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Rick Frea
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17K views1 page

Lab Cheatsheet

Here are all the lab values RTs will ever need to know. You can carry this around on your clipbord and impress someone with your new wisdom.

Uploaded by

Rick Frea
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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Lab tests & possible reasons for abnormal results:

(Critical values in parenthesis.)


1. CK: >200 (>351-2000 critical) = Muscle damage (nonspecific)
2. CKMB: >2.5-3.0 (>5.5) = Heart muscle damage
3. Troponin: >0.1 (>0.4) = Heart muscle damage (most specific)
4. ALK: >136 = Liver or bone damage
5. ALP: >150 = Liver or bone damage
6. AST: >37 (>200 critical) = Liver tissue damage (nonspecific)
7. ALT: >65 = Liver tissue damage (Specific for Hepatitis)
8. Biliruben: >1.0 = Liver cell damage (best indicator of liver function)
9. Albumin: >5.0 = Dehydration (best indicator of liver function)
<3.5 (<1.5) = Liver disease, shock, malnutrition
10. Gamma-Gt: >51 = CHF, liver damage
11. BNP: >100 = CHF (300=mild, 600=mod, 900 severe)
OK = 125-450, <75 YO = 125, >75 YO = 450
12. Glucose: >120 (>350) = Diabetes (>150 = insulin protocol)
<90 (<40)= Liver failure if not on Insulen (sepsis?)
13. GFR: <60 (<29 critical) <15=Kidney failure
14. BUN: >18 (>45 critical) = Kidney problems, CHF, shock, stress
MI, dehydration, GI bleed
<07 = Severe liver disease, malnutrition, over-hydrated
15. Creatinin: >1.7 (3.0 critical) = Kidney probs, dehydration, CHF, shock
16. Sodium: >145 (>160 critical) = Dehydration
<136 (<120) Kidney disease, over-hydrated (edema), not
eating well, CHF, effects of Lasix, diarrhea, vomiting
sweating. (<126=critical, confusion, lethargy, seizures)
17. Potassium: >5.1 (>6 critical) Kidney failure, massive tissue trauma,
(post op), metabolic acidosis (diabetes), dehydration.
<3.5 (<2.8) = Not enough in diet, gastro-intestinal disorder,
vomiting. Due to Insulen, Lasix, dig, steroids?
18. Magnesium: >2.4(>2.7) = Kidney failure, dehydration, diabetic acidosis
<1.3 (<1.0 critical) Malnourished (low intake), elderly,
alcoholism, long-term diuretic use, diarrhea.
19. Chloride: >107 = Dehydration, met acidosis, hypoventilation (alkalosis)
<98) = When Sodium low
20. Calcium: >10.1 (>13) = Bone breaks, prolonged bed rest, etc.
<8.5 (<6) = Bone disease, malnutrition, alcoholism
21. PTT/ PT: >33/ >12.7(>60/>40) = transfusion, therapeutic, DIC.
PTT is one of the best measures of liver function.
<24/<10 = Impaired clotting ability
22. INR: >1.2 (>6) = Acute bleed, DIC or therapeutic.
23. Fibrinogen: >450 = Risk for heart disease (checked often)
<160 (<70) = Acute bleed, liver disease, malnutrition, DIC
24. D-Dimer: >500 = DVT, PE, DIC, acute bleed, surgery, trauma
25. Platelets: <80,000 = bleeding problems, Heparin, DIC alcoholic,
leukemia (Vitamin K increases clotting)
26. Phosphorus: >4.1 (>8) = Liver disease, Kidney failure, bone mets.
<3.0 (<1.1) = Diabetic Keto-acidosis
27. Uric Acid: >7.0 = Acidosis, alcoholism, diabetes, Kidney failure
28. Folic Acid: <2.0 = Malnutrition
29. Lactic Acid: >19.8 = Hypoxia, O2 deprivation, shock, CHF, tissue death
Increases when organs failing/dying (sepsis?)
30. LDH: >136 (>350 critical) = Nonspecific Tissue damage or death
31. Osmology >300 = Dehydration
32. Hematocrit: >47 = Dehydration
33. Keytones: Positive test = Diabetes, starvation, vomiting, increased
metabolism (fever, severe illness).
34. Neutrophils: >48-73% = increased levels of bacterial infection (acute)
a. Segs >60 if new infection
b. Bands >2% = worsening infection
35. Eisinophils: >2% with allergic reaction (associated with asthma).
36. Lymphocytes: >18-48% = may indicate viral infection (mono, measles, pox)
37. Basophils: >2% = allergic reaction

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