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Blood Count Diagram
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Hematocrit Females
37-47%
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Leukopenia causes
- Bone marrow failure
- Drug toxicity
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What makes up the "Diff"?
- Nobody Likes My Educational Background
- Neutrophils
- Lymphocytes
- Monocytes
- Eosinophils
- Basophils
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Platelets
150,000-450,000
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Hypernatremia
Increased intake, decreased Na loss (Cushing), GI loss without rehydration, sweating, burns
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Hyponatremia
Decreased intake, Addison's dz, GI loss with rehydration
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Hyperkalemia
Increased intake, renal failure, crush injury, hemolysis, Addison's dz, hypoaldosteronism
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Hypokalemia
Deficient intake, burns, GI disorder, diuretics, hyperaldosteronism
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Hyperchloremia
Dehydration, metabolic acidosis, cushings, kidney dysfunction
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Hypochloremia
Overhydration, SIADH, CHF, vomiting
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HCO3 elevation
Severe vomiting, high volume gastric suction, aldosteronism
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HCO3 decrease
Chronic diarrhea, chronic loop diuretics, renal failure, diabetic ketoacidosis, starvation, metabolic acidosis
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BUN elevation
Hypovolemia, shock, MI, sepsis, renal infection and failure
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BUN decrease
Liver fialure, overhydration
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Creatine elevation
Renal dz, fhabdomyelisis
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Creatine decrease
Decreased muscle mass
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Glucose decrease
Increased insulin, hypothyroidism, starvation
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Hypercalcemia
Hyperparathyroidism, mets to bone, hyperthyroidism
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Hypocalcemia
Hypoparathyroidism, renal failure, Vit D def
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Amylase elevation
Pancreatitis, acute cholecystitis
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Lipase elevation
Pancreatic dz, biliary dz
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ALT elevation
Hepatitis, necrosis, ischemia, mild cirrhosis
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AST elevation
MI, hepatitis, skeletal muscle trauma
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AlkP elevation
Primary cirrhosis, biliary obstruction, preg
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AlkP decrease
Hypophosphatemia, malnutrition
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High AST/ALT ratio
Suggests advanced alcoholic liver disease
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CRP/ESR elevation
Non-specific!
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Bleeding time
1-9 minutes
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PTT to be monitored with ____________ therapy
Heparin
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INR to be monitored with ____________ therapy
Coumadin
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CK-MB
0.8 or <5% of total CK
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BNP elevation
CHF but have to consider patient baseline
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TSH elevation
HYPOTHYROIDISM
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TSH decrease
HYPERTHYROIDISM
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LDL elevations
- Optimal <100
- Above optimal 100-129
- High 130-159
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Triglyceride elevations
- <150 Normal
- 150-199 Borderline high
- 200-499 High
- >500 Very High
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What is in an Anemia Panel?
- Fe
- TIBC
- Fe Saturation
- Ferritin
- Folate
- Vit B12
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