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Unformatted text preview: BMP/CMP - GLU 60-99 stress, Cushings, DM, hyperthyroidism, pancreatic insufficiency Addisons , hepatic disease, hypothyroidism, insulin over dosage, pancreatic tumor, pituitary hypofunction, dumping syndrome BUN 8-23 prot catabolism (fever, stress) renal, UTI malnut, liver damage Cr 0.6-1.2 Severe renal disease, Na 135-145 Corticosteroid therapy, dehydration, impaired renal function, primary aldosteronism Addisons, diabetic ketoacidosis, diuretic therapy, vomiting, excessive perspiration, water intoxication, K 3.5-5 Addisons disease, diabetic ketosis, renal failure Cushing, diarrhea (severe), diuretic, starvation, vomiting, CL 102-108 steroids, meta acid, resp alka, uremia Addisons, diarrhea, meta alka, resp acid, vomiting, CO2 23-31 Same as bicarbonate, Ca 8.8-10 hyperparathyroidism, multiple myeloma, osteoporosis, vitamin D intoxication pancreatitis, hypoparathyroidism, liver disease, malabsorption , renal failure, vitamin D deficit, Albumin 3.5-5 Dehydration Chronic liver disease, malabsorption, malnutrition, nephrotic syndrome, pregnancy, Bilirubin 0.3-1 Biliary obstruction, hemolytic anemia, impaired liver function, pernicious anemia, prolonged fasting, Alkaline Phos 30-120 Bone diseases, marked hyperparathyroidism, biliary obstruction, rickets Excessive vitamin D, hypothyroidism Tot Protein 6.4-8.3 Burns, cirrhosis, dehydration liver disease, malabsorption, AST 0-35 MI, liver disease, drug related liver probs, renal disease, diabetic ketoacidosis, pregnancy, dialysis, ARTHRITIS - ANA (None Nml) chronic hepatitis, RA, lupus, sclerodemas, ESR 0-20 rheumatoid arthritis, MI, cancer, PID, severe liver disease, sickle cell, Uric acid(male 4-8.5, female 2.7-7.3) gout, high- protein,,leukemia, renal failure drug therapy CARDIAC INJURY - CK 30-170 Brain damage,,musculoskeletal injury or disease, MI, myocarditis, CK-MB 0% MI, BNP <100 CHF(marker for, in left ventricle), MI, HTN, Troponin <0.03 MI, myocardial injury, Myoglobin MI, muscle trauma, muscle ischemia, muscle inflammation, COAG SCREENING - PT/INR 1.5-2.0 x control liver disease; vitamin K deficiency; warfarin, PTT 1.5-2.5 x control, hemophilia, heparin, liver disease, Platelets 150-400,000 infections, chronic leukemia, pancreatitis, cirrhosis, collagen disorders, polycythemia, postsplenectomy Acute leukemia, thrombocytopenic, DM - A1C (2.5-5.9%= good; fair 6.8%; poor >8%, 7 diabetic target) Poor DM control, stress, Cushings, steroids, Anemia, chronic blood loss, renal failure, GLU 60-99, DIC (INTRAVAS COAG) CBC, HgB (f) 12-16 (m) 14-18 COPD, high altitudes, anemia, hemorrhage HCT (f) 35-47% (m) 42-52% Dehydration, high altitudes, polycythemia, Anemia, hemorrhage, overhydration, Fibrinogen 200-400 acute inflammation, (RA, glomerulonephritis,), trauma, CAD, MI, stroke, PAD, liver disease, malnutrition, blood transfusion,...
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- Spring '08