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). Instruct the client to avoid strenuous exercise for 8 hours before and after the test. It also participates in the production of ATP. 3.5 5.5 milliequivalents per liter (mEq/L), High Level: Infection, dehydration, Addisons disease, injury to tissue, diabetes, acute or chronic kidney failure, hypoaldosteronism, Low Level: Anorexia nervosa, malnutrition, diarrhea, vomiting, poorly managed diabetes, hyperaldosteronism, Drugs that may increase potassium: ACE inhibitors, beta blockers, NSAIDs, potassium-sparing diuretics, Drugs that may decrease potassium: Amphotericin B, gentamicin, carbenicillin, corticosteroids, beta-adrenergic agonists, potassium-wasting diuretics. In some circumstances, too acidic or basic urine produces crystals. The following are the entities measured in a microscopic examination: RBCs are present in the urine sample of a person with severe urinary tract infection, renal disorders, urinary tract injuries and inflammation. You can try outThe Blood Typing Game, The Electrocardiogram Game, and The Immune System Game as they aresome of the most visited educational games there. (1998). Below, we review normal measurements for ABG values tested on the NCLEX exam. In this section, well discuss the indications and nursing implications of each lab test. Learning new words can be painful and hard. Drugs that may increase BUN: Allopurinol, furosemide, indomethacin, cisplatin, methyldopa, propanolol, tetracyclines, rifampin, vancomycin, thiazide diuretics, gentamycin, carbamazepine, aminoglycosides, amphotericin B. White blood cells act as the bodys first line of defense against foreign bodies, tissues, and other substances. Be the first to stay in the ranking! EnglishMed has various exercises and mini-games made for nurses, doctors,and other healthcare workers. There are still no results for this activity. Apart from Knee Operation, you can also play Eye Operation and Teeth Surgery on the website. In over 20years of Nursing Practice, I found Nurseslabs an incredibly rich Nursing information site that is free! This quiz will test your knowledge of lab values used in nursing and hospital setting. Feel free to share these cheat sheets for normal lab values! Increased levels of creatinine indicate a slowing of the glomerular filtration rate. The aPTT should be between 1.5 and 2.5 times normal when the client is receiving heparin therapy. It also plays a role in blood sugar regulation. Magnesium is used as an index to determine metabolic activity and renal function. Key Laboratory Values for Nurses ABG Lab Values pH 7.35 - 7.45 pCO2 35 - 45 HCO3 22 - 26 Renal Lab Values BUN 5 - 20 Creatinine 0.6 - 1.2 Cholesterol Lab Value Cholesterol <200 CBC Lab Values HCT F:36 - 46 M:42 - 52 Serum electrolytes may be ordered as a Chem 7 or as a basic metabolic panel (BMP). To help you interpret ABG results, check out our 8-Step Guide to ABG Analysis Tic-Tac-Toe Method. Instruct the client to avoid consuming high-cholesterol foods with the evening meal before the test. Use of standard precautions or sterile technique if necessary. If you are under 14 years old, ask your parent or guardian to read this message before continuing. Do you want to stay in the Top 10 of this activity? Instruct the client to fast for 8 to 12 hours before the test. Quizlet flashcards, activities and games help Despite having fallen out of favour, nursing models may incorporate fundamental concepts, values and beliefs about . Apply pressure dressing to clients with bleeding tendencies after the procedure. University of Huddersfield. human immunodeficiency virus (HIV), which is the cause of acquired immunodeficiency syndrome (AIDS). Hemoglobin count is indicated to help measure the severity of. Abnormal changes in serum chloride levels is usually an indicator of metabolic changes in the body. Instruct the client to fast for 4 hours before the blood is drawn. Monitoring the therapeutic levels of certain medications is often conducted when the patient is taking medications with a narrow therapeutic range where a slight imbalance could be critical. The games use Flashwhich makes learning a lot more pleasing to your eyes. Determining hematocrit is helpful in diagnosing and assessing blood diseases, nutritional deficiencies,and hydration status. Drugs that may increase hemoglobin: Erythropoietin, iron supplements. The activities are divided into different categories so you can conveniently choose the game that can help you enhance specific skills. Lab values are used to determine the overall health and well-being of a patient. The following laboratory tests are used to diagnose human immunodeficiency virus (HIV), which is the cause of acquired immunodeficiency syndrome (AIDS). Creatine kinase (CK) is an enzyme found in muscle and brain tissue that reflects tissue catabolism resulting from cell trauma. A low total WBC count with a left shift means a recovery from bone marrow, Determine whole-body stores of sodium, because the ion is predominantly extracellular, Monitor the effectiveness of drug, especially, Intraluminal bowel loss (e.g., ileus or mechanical obstruction), Syndrome of inappropriate ADH (SIADH) secretion. They circulate in the bloodstream and bind together to form a clot over any damaged blood vessel. Tricks to understand complete blood count, basic metabolic panel, liver function tests, arterial blood gas, and others High Level:Oliguria, dehydration, Addison disease, chronic renal failure, diabetic acidosis, Low Level:Chronic diarrhea, alcoholism, hemodialysis, ulcerative colitis, delirium tremens, hypoparathyroidism, hyperaldosteronism, hepatic cirrhosis, pancreatitis, toxemia of pregnancy, Drugs that may increase magnesium: Milk of magnesia, lithium carbonate, Drugs that may decrease magnesium: Insulin, antiarrhythmic drugs, digoxin amiodarone, sotalol, quinidine, bretylium, strophanthin, diuretics, isoproterenol. If the radioimmunoassay technique is being used, the injection of radionuclides within 1 week before the blood test is performed may cause falsely elevated results. Oct 2011. Tests for hepatitis include radioimmunoassay, enzyme-linked immunosorbent assay (ELISA), and microparticle enzyme immunoassay. Helps in diagnosing anemia and hemolytic disorder. But, guess what? 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. CTRL + SPACE for auto-complete. Note that results will be elevated with the ingestion of alcohol or the administration of. Determining specific gravity is useful when you want to detect a particular substance in the urine sample. Elevated WBCs in the urine is a sign of an infection or inflammation of the urinary tract. Knee Operation is a game on Crazy Games. specic procedures. Hemoglobin AC (glycosylated hemoglobin A; HbA1c) is a reflection of how well blood glucose levels have been controlled for the past 3 to 4 months. Venous blood is used as a specimen for complete blood count (CBC) which is a basic screening test that is frequently ordered to give an idea about the health of a patient. Providing information and answering client questions about the procedure. Amylase is an enzyme, produced by the pancreas and salivary glands, aids in the digestion of complex carbohydrates and is excreted by the kidneys. This ABG practice test will examine your knowledge about respiratory and metabolic disorders when interpreting lab values. Nursing Lab Values Quick reference cheat sheet. Our lab values are based on NCLEX standards according to NCSBN, your text book, hospital, nursing book . Its supposed to be clear but certain medications and food can affect its color. Our members represent more than 60 professional nursing specialties. Activated partial thromboplastin time (APTT) evaluates the function of the contact activation pathway and coagulation sequence by measuring the amount of time it requires for recalcified citrated plasma to clot after partial thromboplastin is added to it. Lab values made easy! Iron is essential for the production of blood helps transport oxygen from the lungs to the tissues and carbon dioxide from the tissues to the lungs. When there are kidney problems present, the casts have different components inside, like RBCs or WBCs. Listed on 14 Apr, 2023 Clients with elevated white blood cell counts and platelet counts may have falsely elevated potassium levels. Measure of the percentage of RBC in total blood volume (cell volume), Make sure the collected specimen is marked as "done" on the lab order sheet, Label the lab slip w/ the speciment source, Follow the procedure exactly as outlined in Pagana and Pagana text, An elderly client with renal insufficiency, Specimens sent to the lab utilizing standard precautions, Blood speciments sent to the lab immediately following drawing. Normal and critical values chart for hemoglobin count: Increased hemoglobin levels may indicate: Decreased hemoglobin levels may indicate: Hematocrit or packed cell volume (Hct, PCV, or crit) represents the percentage of the total blood volume that is made up of the red blood cell (RBC). Great information! Active learning activities to get your nursing students engaged. 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. It also plays a part in motor and nerve function. Calcium aids in blood clotting by converting prothrombin to thrombin. It was now . For a creative end-of-the-year review idea, have each of your students develop their own bingo cards and questions surrounding a specific nursing concept. Provide direct pressure to the venipuncture site for 3 to 5 minutes. Specific gravity reflects how concentrated the urine is. Add to Cart. Let's just say that my daily diet of 6-8 protein shakes, 70-110 carbs, and 200 total cholesterol helped contribute to my loosing 1,030 of specific gravity. Common tests used to determine the presence of antibodies to HIV include ELISA, Western blot, and Immunofluorescence assay (IFA). I didnt see the link for the downloadable cheat sheet though. Take care of the equipment second. Instruct the client to eat a diet low in yellow foods, avoiding foods such as carrots, yams, yellow beans, and pumpkin, for 3 to 4 days before the blood is drawn. Questions and Answers 1. Normal and Critical Lab Values for Prothrombin Time (PT): Normal and Critical Lab Value for International Normalized Ratio (INR). Urine contaminated by blood from menstruation or hemorrhoids). The INR standardizes the PT ratio and is calculated in the laboratory setting by raising the observed PT ratio to the power of the international sensitivity index specific to the thromboplastin reagent used. Decreased in conditions such as burns, cirrhosis, edema, and severe hepatic disease. Normal and critical values for Total Calcium (Ca): Normal and critical values for Ionized Calcium: Increased calcium levels (Hypercalcemia) may indicate: Decreased calcium levels (Hypocalcemia) may indicate: In this section, well be discussing the normal laboratory values of serum creatinine and blood urea nitrogen, including their indications and nursing considerations. $65.99. It features common medical abbreviations in four different types of games flashcards, concentration, word search,and matching type. Experiments in the Laboratory! Instruct the client to avoid excessive exercise for 8 hours and excessive red meat intake for 24 hours before the test. The categorization of games featured on the website is helpful in planning your studying strategy. Normal and critical values for Phosphorus (P): Increased phosphorus levels (Hyperphosphatemia) may indicate: Decreased phosphorus levels (Hypophosphatemia) may indicate: Calcium (Ca+) is a cation absorbed into the bloodstream from dietary sources and functions in bone formation, nerve impulse transmission, and contraction of myocardial and skeletal muscles. Other conditions that produce ketones in the urine are diabetes mellitus, frequent vomiting, strenuous exercise, and high protein diet. Coco . Potassium: 3.5 to 5.0 mmol/L Maintains blood pressure, blood volume, and pH balance. 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. Protein malnutrition and other protein-depleted states, Familial dysalbuminemic hyperthyroxinemia. Albumin is increased in conditions such as dehydration, diarrhea, and metastatic carcinoma; decreased in conditions such as acute infection, ascites, and alcoholism. Kratz, A., Ferraro, M., Sluss, P. M., & Lewandrowski, K. B. Detect coagulation disorders in clotting factors such as, Hypofibrinogenemia von Willebrands disease, Early stages of disseminated intravascular coagulation. . A shift to the right which is usually seen in liver disease, megaloblastic and pernicious anemia, and. Lab values: pH 7.56, paCo2 20, HCO3 20 * 2. Results should be correlated clinically as these microorganisms are also present externally in the genitals. Creatinine is the product of muscle metabolism. Games can help the nursing professionals to apply the acquired knowledge in different clinical situations. Place the specimen on ice and transport to the laboratory immediately. Prothrombin is a vitamin K-dependent glycoprotein produced by the liver that is essential for fibrin clot formation. Prolonged bleeding time or increased levels may indicate: D-Dimer is a blood test that measures clot formation and lysis that results from the degradation of fibrin. Instruct the client to eat a high-carbohydrate (200 to 300 g) diet for 3 days before the test. Drugs that may cause decreased iron levels include adrenocorticotropic hormone, cholestyramine, colchicine, deferoxamine, and, Drugs that may cause increased iron levels include dextrans, ethanol, estrogens, iron preparations, methyldopa, and, Assist in the diagnosis of conditions related to acute and chronic, Severe anemias such as vitamin B12 deficiency or iron deficiency, Fatty meal prior extraction may cause plasma alterations, Inherited thrombocytopenia disorders such as Bernard-Soulier, Wiskott-Aldrich, or Zieve syndromes, Leukemia and other myelofibrosis disorders. MY LAB VALUE MNEMONIC: I arrived in Cali at 8.6 oclock. thank you for having compassion to nurses and aspiring nurses! I preside over all of the technical operations within the department of Human and Health Sciences and provide technical assistance to all Allied Health courses within the school. Lab values: pH 7.31, paCo2 34, HCO3 21 * 4. Normal Lab Value for DM Autoantibody Panel: Lipid assessment or lipid profile includes total cholesterol, high-density lipoprotein (HDL), low-density lipoprotein (LDL), and triglycerides. White blood cells, also known as leukocytes, defend the body against infections and other foreign bodies. High Level:Dehydration, cigarette smoking, polycythemia vera, tumors, erythropoietin abuse, lung diseases, blood doping. Lab Value Patho Range/ Critical Value What's Normal? Suspected Deep tissue injury: - Skin is intact; appears purple or maroon. Drugs that may decrease hemoglobin: Aspirin, antibiotics, sulfonamides, trimethadione, anti-neoplastic drugs, indomethacin, doxapram, rifampin,and primaquine. Bilirubin, a part of bile, is the yellow fluid secreted into the intestines to aid in digestion. Ships from United States. Determining platelet count is vital in assessing patients for tendencies of bleeding and thrombosis. Instruct the client with diabetes mellitus to withhold morning insulin or oral hypoglycemic medication. Instruct the client to avoid ingestion of alcohol for 24 hours before the test. Thyroid studies help differentiate primary thyroid disease from secondary causes and from abnormalities in thyroxine-binding globulin levels. Write CSS OR LESS and hit save. Instruct the client to abstain from foods and fluid, except for water, for 12 to 14 hours and from alcohol for 24 hours before the test. - Affected area may have felt firm, boggy, mushy, warmer, or cooler to touch. This quiz will test you on the lab values to know for NCLEX and in nursing. The game board represents a hospital with areas or wards in which a student nurse must spend time. What body system relates to Urinalysis test? Less than 1:4 titer with no antibody detected, Type I diabetes mellitus/ Insulin-dependent diabetes mellitus, Hepatocellular disease (e.g., cirrhosis or hepatitis), Glycogen storage disease (e.g., von Gierkes disease), Hypoproteinemia (e.g., severe burns, malnutrition, or malabsorption). Lab Skeletons/ "fishbone". The following are the normal therapeutic serum medication levels: A phlebotomist or a nurse with training and certification in collecting a blood sample are allowed to perform venipuncture for the purpose of blood specimen collection. In the NCLEX, some questions supply laboratory results with no indication of the normal lab levels so youll have to familiarize yourself with them. Lab value chart for nursing, NCLEX, USMLE, and students. 5. High concentrations of phosphorus are stored in bone and skeletal muscle. Thanks a lot of great efforts. Study Stack has lots of different nursing lessons categorized in different gaming formats. Some other entities are also measured by estimations like few, many or moderate. Then have the entire class play a round of bingo to review the concept. eyelashes, and size 7-22 buns. Its a supportive tool for diagnosing illnesses. Myoglobin rise in 2-4 hours after an MI making it an early marker for determining cardiac damage. Sodium 110 mEq/L C. BUN 10 D. Magnesium 2.3 mg/dL E. Phosphorus 1 mg/dL F. Glucose 96 mg/dL Its a good game if you want to memorize how an actual appendectomy is done in the operating room. A complete blood count (CBC) measures five key components including, Red Blood Cell: Cells that carry oxygen in . Glucose should not be present in the urine. A standard urinalysis involves three stages visual exam, dipstick test and microscopic exam. Closing Thoughts Instruct the client that fasting may be required for 8 hours before the test. 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. Nhina Sandeep de Rosas. Could you point me in the right direction. Increased glucose levels (Hyperglycemia) may indicate: Increased postprandial glucose levels (Postprandial hyperglycemia) may indicate: Decreased glucose levels (Hypoglycemia) may indicate: Decreased postprandial glucose levels (Postprandial hypoglycemia) may indicate: The glucose tolerance test (GTT) aids in the diagnosis of diabetes mellitus. Once the strip is dipped into the urine, there will be some changes in the color of the partitions. Acid-Base Balance Remember ROME (respiratory opposite/metabolic equal) to remember that in respiratory acid/base disorders the pH is opposite to the other components. 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