This test is used to determine the adequacy of renal function but it may also produce a false-positive result as it is dependent on renal blood flow, protein metabolism, catabolism, drugs,and diet. By. This time, however, the game will guide you in assessing the patient for pain by applying pressure to her abdomen, getting and analyzing blood samples to performing the actual surgery. Familiarizing and interpreting laboratory values for nurses dont always have to feel that way. Other conditions that produce ketones in the urine are diabetes mellitus, frequent vomiting, strenuous exercise, and high protein diet. Its the chemical compound that supplies energy to the cell. If the glucose levels peak at higher than normal at 1 and 2 hours after injection or ingestion of glucose and are slower than normal to return to fasting levels, then diabetes mellitus is confirmed. Arterial Blood Gases (ABGs) are measured in a laboratory test to determine the extent of compensation by the buffer system. Troponin levels are elevated as early as 3 hours after MI. -. Instruct the client to eat a high-carbohydrate (200 to 300 g) diet for 3 days before the test. 0% 0:00.0 Other Games of Interest The Phosphorus Cycle EC Science English There are three major peptides: BNP is the primary marker for identifying heart failure as the cause of dyspnea. It can also reflect improper urine sample collection as in the case of urine specimen contaminated by vaginal secretions. Provide direct pressure to the venipuncture site for 3 to 5 minutes. In general, the immune system remains healthy with CD4+ T-cell counts higher than 500 cells/L. Lab values: pH 7.23, paCo2 37, HCO3 18 * 3. It also plays a part in motor and nerve function. Laboratory Values Answering questions about lab values is another example of how the real world does not work on the NCLEX-RN exam. Add to Wish List Add to Compare. Feel free to share these cheat sheets for normal lab values! The presence of blood in the urine is called hematuria and this usually happens when there is an injury in the urinary tract. I cannot express how grateful I am for whoever compiled this, may God bless you. Nursing Flashcards DescriptionDateStars Fluid and Electrolytes (96 cards) 2023-02-25 198 Hints from Exam Cram NCLEX (133 cards) 2023-03-23 163 Commonly used Abbreviations (113 cards) 2023-03-08 107 Phosphorus (Phosphate) is important in bone formation, energy storage and release, urinary acid-base buffering, and carbohydrate metabolism. Health. Note that many medications may cause false-positive or false-negative results. Its supposed to be clear but certain medications and food can affect its color. A. 6.0-8.0 C. 2.0-3.0 D. 6.4-8.6 2. Normal reference laboratory values. Lab values: pH 7.31, paCo2 34, HCO3 21 * 4. The movement of nutrients into the cell and the transport of waste products out of the cell are also mediated by potassium. What body system would a coagulation study be done on, What body system would a glucose test be done for, What test/ body sysemwould primarily be done for nutritional, What are normal lab values for Hemoglobin. High Level: Hypoparathyroidism, diabetic ketoacidosis, liver disease, kidney failure, Low Level: Poor nutrition, alcoholism, hyperparathyroidism, hypercalcemia, Drugs that may increase phosphorous: Vitamin D, phosphate-containing laxatives, Drugs that may decrease phosphorous: Antacids, diuretics, corticosteroids, anticonvulsants, ACE inhibitors, insulin. Nurses are the backbone of the hospital or the clinic as they are responsible for collecting the data, lab reports, and other information from every single patient. The game presents engaging scenarios that will really test you out as a nurse. Getty Images. 5,000 10,000per microliter (Some textbooks say 4,500 10,000), High Level: Infections, cigarette smoking, leukemia, inflammatory diseases, tissue damage, severe physical or mental stress, Low Level: Autoimmune disorders, bone marrow deficiencies, viral diseases, liver problems, spleen problems, severe bacterial infections, radiation therapy, Drugs that may increase white blood cells: Corticosteroids, heparin, beta-adrenergic agonists, epinephrine, granulocyte colony-stimulating factor, lithium, Drugs that may decrease white blood cells: Diuretics, chemotherapeutic drugs, histamine-2 blockers, captopril, anticonvulsants, antibiotics, antithyroid drugs, quinidine, chlorpromazine, terbinafine, clozapine, sulfonamides, ticlopidine. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. Calcium is usually binded with protein in the blood. In this section, well discuss the indications and nursing implications of each lab test. Pixel Hospital is more than just a cute game. With the right tips, youll be able to overcome those fears and complete your tasks easily. Abnormal changes in serum chloride levels is usually an indicator of metabolic changes in the body. This quiz is filed in the following categories. The coverage is impressive as it has questions about Anatomy, Pharmacology, Histology, Diseases, Medical Abbreviations, Dosages and so on. If you are under 14 years old, ask your parent or guardian to read this message before continuing. Questions will usually include critical lab values and its a matter of identifying if its within normal range or not. Since 1997, allnurses is trusted by nurses around the globe. This is also an essential list of the lab values ranges to know for your nursing exams! It also plays a role in blood sugar regulation. Lipase is a pancreatic enzyme converts fats and triglycerides into fatty acids and glycerol. If you are reviewing for the NCLEX, this site has hundreds of flashcards you can use to test yourself. Instruct the client to fast, except for water, and to refrain from smoking for 8 to 10 hours before the test; smoking increases ammonia levels. Its a great way to diversify your learning methods. Your suggestion is noted. It's important to understand the normal range for the lab values and the reason why a medical provider would order them. Atrial or ventricular cardiac septal defects, Inadequate oxygen in inspired air (suffocation)Mucus plug, Severe hypoventilation (e.g., neurologic somnolence, oversedation). Results are invalidated if the specimen was obtained less than 72 hours after cholecystography with radiopaque dyes. Monitor client laboratory values (e.g., glucose testing results for the client with diabetes) Notify primary health care provider about laboratory test results Identifying Laboratory Values Arterial Blood Gases Partial pressure of oxygen (PaO2): 75 - 100 mmHg Partial pressure of carbon dioxide (PaCO2): 38 - 42 mmHg Arterial blood pH: 7.38 - 7.42 Note that results are invalidated if the client has received a radioactive scan within 24 hours before the test. Nearly every single shift you'll have to note, record, and assess a whole lot of data generated by your patients. The metabolic panel shows the following results below. A. Apply pressure dressing to clients with bleeding tendencies after the procedure. Lab Skeletons/ "fishbone". Lab values made easy! Troponin T returns to normal values after 10 days. Add to Cart. The following are the chemical tests usually included in reagent strips: The pH level of the urine is related to the acid-base balance maintained by the body. High Level: Preeclampsia, dehydration, renal problems, rhabdomyolysis, blocked urinary tract, myasthenia gravis, hyperthyroidism, muscular dystrophy, Low Level: Spinal cord injuries, cachexia, sudden decrease in activity, Drugs that may increase creatinine: Aminoglycosides, methicillin, amphotericin B, cistplatin, dextran, cyclosporine, gallium, lithium, hydroxyurea, methoxyflurane, nitrofurantoin, plicamycin, pentamidine, streptozocin, Drugs that may decrease creatinine: Neuromuscular blocking agents. The gaming formats available are the hangman, quiz, puzzle, flashcards, matching, type-in, unscramble, study table, chopped, crossword, and many more. To be a nurse is to know lab values. Rating: 0%. The areas include Training School, Medical, Dr. Joe's Laboratory, Orthopedics, Children's Ward, Emergency, Nursery, Operating Room, and Surgical. Syndrome of inappropriate antidiuretic hormone (SIADH). nursing. The ionized calcium test measures the calcium that is not attached to proteins. in . What normal value goes w/ electrolyte C1-, What normal value goes w/ electrolyte Na+. It reflects the volume percentage of red blood cells in the whole blood. Normal values for thyroid function tests: Increased triiodothyronine levels may indicate: Decreased triiodothyronine levels may indicate: Increased Thyroxine, free (FT) levels may indicate: Thyroid-stimulating hormone (thyrotropin). Casts are cylindrically shaped particles formed from the coagulated protein secreted by renal cells. Reporting of the results to the appropriate members of the healthcare team. Cheat sheet to learn and remember normal lab levels of CBC, ABG, chemistry, LFTs, coagulation studies, and more blood tests. Ammonia is metabolized by the liver and excreted by the kidneys as urea. $2.00 (36 used & new offers) Other formats: Kindle , Audible Audiobook. Common tests used to determine the presence of antibodies to HIV include ELISA, Western blot, and Immunofluorescence assay (IFA). Hello! Place the specimen on ice and transport to the laboratory immediately. In chronic pancreatitis, the rise in serum amylase usually does not normally exceed three times the normal value. Nurses who have played thegame before said that they had a lot of fun and that its very addictive. Cherry Ames' Nursing Game: This is a bit campy, but fun nonetheless. NURSING LAB VALUES SPECIFICALLY FOR YOU. You can download a summary or cheat sheet of this normal laboratory values guide below. MY LAB VALUE MNEMONIC: I arrived in Cali at 8.6 oclock. Do you know everything about plastic and Yuma Labs? Below, we review normal measurements for ABG values tested on the NCLEX exam. They circulate in the bloodstream and bind together to form a clot over any damaged blood vessel. CTRL + SPACE for auto-complete. Which of the following lab tests would be ordered to diagnose anemia? For this reason, a standard calcium test can be misleading and determination of ionized calcium is recommended. Kerry Riek joined ECRI in 2015 as an Associate with its Applied Solutions Group and consults with healthcare organizations to assess, plan, procure, and manage healthcare technologies. In a normal urine specimen, there are few epithelial cells that can be seen under microscopic examination. Good luck! A single reactive ELISA test by itself cannot be used to diagnose. Thanks, Iam a lab technician , thisarticle is very helpful to me Thanks. Study with Quizlet and memorize flashcards containing terms like Magnesium, Sodium, Potassium and more. Huang LY in 2017, reported that students significantly improved . Any injury to skeletal muscle will cause a release of myoglobin into the blood. ) # simplenursingsuccess # nursingstudent . The categorization of games featured on the website is helpful in planning your studying strategy. Apply direct pressure to the venipuncture site. The game looks like a test but it can be played repeatedly until youve mastered the flow! Are you working in the healthcare sector? There are free nursing games you can download on your devices to liven up your shift. 1. Diagnostic and laboratory tests are tools that provide invaluable insights and information about the patient. Used to diagnose disseminated intravascular coagulation (DIC). By mastering the interpretation and application of lab values, you'll be prepared to provide safe and effective patient care and succeed in your nursing education and career. Chloride is a hydrochloric acid salt that is the most abundant body anion in the extracellular fluid. Normal values for Aspartate Aminotransferase (AST, SGOT): Increased Aspartate Aminotransferase (AST) levels may indicate: Decreased Aspartate Aminotransferase (AST) levels may indicate: Bilirubin is produced by the liver, spleen, and bone marrow and is also a by-product of hemoglobin breakdown. It's no secret that one of the keys to increasing student engagement within the nursing curriculum is through active learning activities and strategies. Study Shack Study Shack features more than 1,000 words and terms that nurses should know. Common laboratory blood tests such as thyroxine, TSH, T4, and T3 are done to evaluate thyroid function. It will test your knowledge about medical conditions and diseases as well as your clinical knowledge. We have other quizzes matching your interest. Great information! Content The CK level begins to rise within 6 hours of muscle damage, peaks at 18 hours, and returns to normal in 2 to 3 days. Thanks for your anticipation, This is great! 135 to 145 milliequivalents per liter (mEq/L), High Level: Cushing syndrome, diabetes insipidus, excessive fluid loss, malnutrition, dehydration, Low Level: Addisons disease, renal diseases, cirrhosis, heart failure, ketonuria, Drugs that may increase sodium: NSAIDs, laxatives, birth control pills, corticosteroids,and lithium, Drugs that may decrease sodium: Diuretics, morphine, and SSRI antidepressants. Drug monitoring includes drawing blood samples for peak and trough levels to determine if blood serum levels of a specific drug are at a therapeutic level and not a subtherapeutic or toxic level. There is a printable worksheet available for download here so you can take the quiz with pen and paper. Here are the common normal lab values you'll need to know. When there are kidney problems present, the casts have different components inside, like RBCs or WBCs. 6 Item(s) Show. Ketones are by-products of fat metabolism and they form whenever there is not enough carbohydrate present for energy production. If you want to continue inserting activities in Microsoft Teams, purchase a. An increasing number of nursing schools are offering nursing simulation scenarios to students to better train tomorrow's nurses, today, and as a direct response to the increased scrutiny of nurses and other health care professionals to provide safe, effective care. Normal values for Alanine Aminotransferase (ALT, SGPT): Increased Alanine Aminotransferase (ALT) Levels may indicate: Decreased Alanine Aminotransferase (ALT) levels: Aspartate Aminotransferase (AST) test is used to evaluate a client with a suspected hepatocellular disease, injury, or inflammation (may also be used along with cardiac markers to evaluate coronary artery occlusive disease). A. Increased LDL and VLDL levels may indicate: Decreased LDL and VLDL Levels may indicate: Serum enzymes and cardiac markers are released into the circulation normally following a myocardial injury as seen in acute myocardial infarction (MI) or other conditions such as heart failure. Normal Lab and Diagnostic Values Questions and Answers 1. High Level:Dehydration, cigarette smoking, congenital heart disease, pulmonary fibrosis, renal cell carcinoma, polycythemia vera, Low Level:Bleeding, anemia, malnutrition, overhydration, hemolysis, erythropoietin deficiency, leukemia, multiple myeloma, porphyria, thalassemia, sickle cell anemia, Drugs that may increase RBC count: Methyldopa, gentamycin, Drugs that may decrease RBC count: Quinidine, hydantoins, chloramphenicol, chemotherapeutic drugs. Questions and Answers 1. Normal and critical values for Serum Osmolality: Part of the bicarbonate-carbonic acid buffering system and mainly responsible for regulating the pH of body fluids. Thank u.. Scientists have shown they can identify Parkinson's disease using a biological marker even before physical symptoms arise, such as tremors, balance issues or loss of smell. Determining serum calcium levels is important if the patient is suffering from existing nerve and motor dysfunctions. The Department of Nursing at Southern Arkansas University invites applications for a Nursing Simulation & Skills Lab Coordinator. It makes the blood look bright red as it is made with iron. Kratz, A., & Lewandrowski, K. B. The presence of bacteria can also affect its appearance: The dipstick urine test is done by dipping a plastic strip into the urine sample. On the other hand, when there are many white blood cells present in the urine, the leukocyte esterase level elevates and it could be detected in strips. 95 105 milliequivalents per liter (mEq/L), High Level:Diarrhea, metabolic acidosis, compensated respiratory alkalosis, renal tubular acidosis, bromide poisoning, kidney diseases, Cushing syndrome, hyperventilation, Low Level: Vomiting, burns, excessive sweating, dehydration, gastric suction, chronic lung diseases, Addisons disease, Bartter syndrome, congestive heart failure, metabolic alkalosis, compensated respiratory acidosis, hyperaldosteronism, syndrome of inappropriate diuretic hormone secretion (SIADH), Drugs that may increase chloride: Carbonic anhydrase inhibitors, Drugs that may decrease chloride: Diuretics, Also Read: Nursing Mnemonics and Acronyms (Acid-Base, Fluids, and Electrolytes). Its based on the sections of most nursing books so you wont have a hard time planning your lessons. There are games that encourage nurses to practice assessment, prevention and treatment of patient health conditions related to patient skin integrity and pressure ulcers. Monitor for signs of bleeding if the aPTT value is longer than 90 seconds in a patient receiving heparin therapy. Study Stack has lots of different nursing lessons categorized in different gaming formats. High Level:Dehydration, hypoxia, cigarette smoking, polycythemia vera, tumors, erythropoietin abuse, lung diseases, blood doping, erythrocytosis, cor pulmonale, Low Level:Overhydration, nutritional deficiencies, blood loss, bone marrow suppression, leukemia, lead poisoning, Hodgkins lymphoma, chemotherapy treatment, Drugs that may increase hemoglobin: Erythropoietin, iron supplements, Drugs that may decrease hemoglobin: Aspirin, antibiotics, anti-neoplastic drugs. Hemoglobin is the protein component of red blood cells that serves as a vehicle for oxygen and carbon dioxide transport. BUN can also reflect protein tolerance, hydration status, degree of catabolism, and risk of uremic syndrome. Low Level: Low protein diet, malnutrition, liver failure, fluid overload. The result is dependent on the size, structure, and total number of red blood cells. Instruct the client to fast for 4 hours before the blood is drawn. Complete blood count is one of the most basic laboratory examinations to assess the overall health status of a patient. Providing information and answering client questions about the procedure. Instruct the client with diabetes mellitus to withhold morning insulin or oral hypoglycemic medication. Sodium 110 mEq/L C. BUN 10 D. Magnesium 2.3 mg/dL E. Phosphorus 1 mg/dL F. Glucose 96 mg/dL Lab Values: 137 Values You Must Know to Easily Pass the NCLEX! Which of the following nursing interventions is NOT routinely expected when collecting laboratory specimens? The test for CK is performed to detect myocardial or skeletal muscle damage or central nervous system damage. (478) $2.50. Reading your thick books and studying all your notes arent fun. Mean corpuscular volume (MCV): The average size of the individual RBC. Here we discuss the normal lab values of the commonly ordered serum tests: potassium, serum sodium, serum chloride, and serum bicarbonate. Endoscopic retrograde cholangiopancreatography (ERCP) may increase lipase activity. Total bilirubin levels increase with any type of jaundice; direct and indirect bilirubin levels help differentiate the cause of jaundice. brings his wealth of experience from five years as a medical-surgical nurse to his role as a nursing instructor and writer for Nurseslabs, where he shares his expertise in nursing management, emergency care, critical care, infection control, and public health to help students and nurses become the best version of themselves and elevate the nursing profession. (Nursing Review and RN Content Guide, Registered Nurse, Practitioner, Study Guide, Laboratory Medicine Textbooks, Exam Prep) by Chase Hassen and Nurse Superhero. Potassium: 3.5 - 5 Sodium: 135 - 145 WBC: 5,000 - 10,000 Creatinine: 0.6 - 1.2 PT: 11 - 13 Note that calcium levels can be affected by decreased protein levels and the use of. To help you interpret ABG results, check out our 8-Step Guide to ABG Analysis Tic-Tac-Toe Method. Normal and critical lab values for Lipid Profile: Low-density lipoprotein (LDL) and Very-low-density lipoprotein (VLDL). SkillStats ECG Simulator will help you know ECG rhythms by heart. Complete Blood Count. Knee Operation is a game on Crazy Games. An elevated number of epithelial cells can also signify an improper collection of the urine specimen, especially if it is not collected using the midstream-catch technique. specic procedures. 10-20% B. On the laboratory form, list the medications that the client has taken during the previous 24 hours before the test. (2004). Know about Electrophoresis- The laboratory quiz. If the client is receiving intermittent heparin by intermittent injection, plan to draw the blood sample 1 hour before the next dose of heparin. Nurses have responsibilities for each phase of diagnostic testing. hemostatic plug formation, clot retraction, and coagulation factor activation. Hemoglobin count is indicated to help measure the severity of. Select all that apply: * A. Potassium 2 mEq/L B. Serum protein reflects the total amount of albumin and globulins in the plasma. For people with liver problems and obvious signs of liver dysfunction, the absence of urobilinogen may indicate the presence of a hepatic or biliary obstruction. It is useful in diagnosing pernicious and iron deficiency anemias and other liver diseases. Louise M. Malarkey . Results of the test may be invalid if the client has undergone a radionuclide scan within 7 days before the test. Preferred: Bachelor's or master's . Potassium: 3.5 to 5.0 mmol/L Maintains blood pressure, blood volume, and pH balance. February 22, 2022 - 12:00 am There is a printable worksheet available for download here so you can take the quiz with pen and paper. This is a great game if you think you need to exercise your critical thinking skills. This is one of the best resources for nursing students I ever come across in my nursing studies!! Thank you! This information is crucial to their health and care, and knowing how to record, manage, and interpret this data will be a big part of your career. If you want to make studying a lot more fun and enjoyable, why not play? Ketones also form when insulin levels are not enough to initiate carbohydrate metabolism so the body just uses fat in order to produce the energy needed for daily activities. The hemoglobin test is a measure of the total amount of hemoglobin in the blood. Nurseslabs-Lab-Values - Common Laboratory Values Cheat Sheet - Studocu Lab Values common laboratory values cheat sheet diagnostic tests are crucial in any aspect of clinical practice since they assist clinicians in establishing and Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions But I dont think well be making an app soon. Glucose is the main source of cellular energy for the body and is essential for brain and erythrocyte function. Games can help the nursing professionals to apply the acquired knowledge in different clinical situations. Prothrombin is a vitamin K-dependent glycoprotein produced by the liver that is essential for fibrin clot formation. Instruct the client to eat a diet with a normal calcium level (800 mg/day) for 3 days before the exam. Its level is checked and tested whenever there are changes in motor functions or when patients are suspected of metabolic diseases. Note that results will be elevated with the ingestion of alcohol or the administration of. Responsibilities during pretest include: During intratest, the main focus is specimen collection and performing or assisting with certain diagnostic procedures. A. WBC count assesses the total number of WBC in a cubic millimeter of blood. Tricks to understand complete blood count, basic metabolic panel, liver function tests, arterial blood gas, and others Take care of the equipment second. Be the first to stay in the ranking! You're assessing your patient's morning labs. Past Life Quiz: Who Was I In My Past Life? Invasive procedures and intramuscular injections may falsely elevate CK levels. Must-Know Nursing Lab Values pH: 7.35 - 7.45 PaCO2: 35-45 HCO3: 22-26 BUN: 5-10 Cholesterol: <200 Glucose: 70-100 HCT: F:36-46 M42-53 HgB :F:12 - 15 M:14 - 17 HgBA1C: 4 - 6% >7 is diabetic Platelets 200,000 - 450,000 <20,000 be very concerned! This course provides information and learning activities related to diagnostic tests and laboratory (lab) values, one source of client assessment data. Its actually a good tool to practice your time management and critical thinking skills. Trivia Questions Quiz. Overhydration due to fluid overload or syndrome of inappropriate antidiuretic hormone (SIADH). These test banks are absolutely free and no registration is required! You can simply press right click of your mouse and select print, then you can choose the option to print it if you have a printer available or just save it as a pdf file in your computer and study or print it later. Serial measurements are important to compare with a baseline test; elevations are clinically significant in the diagnosis of cardiac pathology. Download Free Normal Lab Values Cheat Sheet, Platelets (Pt), Mean Platelet Volume (MPV), Fibrinogen, Prothrombin Time, International Normalized Ratio (PT/INR), Activated Partial Thromboplastin Time (APTT), Serum Creatinine (Cr), Creatinine (Urine), and Creatinine Clearance (CrCl), Lipoprotein Profile (Lipid Profile) Normal Lab Values, Arterial Blood Gas (ABG) Normal Lab Values, Therapeutic Drug Monitoring Normal Lab Values, 8-Step Guide to ABG Analysis Tic-Tac-Toe Method, Acquired Immune Deficiency Syndrome (AIDS), Work Environment Affects Nurses Job and Patient Outcomes, Nurses Outraged by Senators Playing Cards Remark, https://nurseslabs.com/normal-lab-values-nclex-nursing/#Download, Reference range provided with results should be reviewed. 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