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. 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 huge respect and appreciation to all who contributed to developing this masterpiece!! Decreased in conditions such as burns, cirrhosis, edema, and severe hepatic disease. Instruct the client to avoid ingestion of alcohol for 24 hours before the test. Drugs that may increase hemoglobin: Erythropoietin, iron supplements. If you want to continue inserting activities in Microsoft Teams, purchase a. The peak level indicates the highest concentration of the drug in the blood serum while the trough level represents the lowest concentration. This is also an essential list of the lab values ranges to know for your nursing exams! Myoglobin rise in 2-4 hours after an MI making it an early marker for determining cardiac damage. Games can help the nursing professionals to apply the acquired knowledge in different clinical situations. Thank you. Ketones are by-products of fat metabolism and they form whenever there is not enough carbohydrate present for energy production. Troponin T and Troponin I start to rise after 4-6 hours and peaks at 10-24 hours. Thanks for your anticipation, This is great! On the other hand, low hemoglobin levels may be present in a variety of blood diseases, like sickle cell disease and thalassemia. With the right tips, youll be able to overcome those fears and complete your tasks easily. Other conditions that produce ketones in the urine are diabetes mellitus, frequent vomiting, strenuous exercise, and high protein diet. Simple way to remember normal ranges of blood tests, CBC, ABG, electrolytes. Normal and critical lab values for Lipid Profile: Low-density lipoprotein (LDL) and Very-low-density lipoprotein (VLDL). The result is dependent on the size, structure, and total number of red blood cells. Its the bodys way of compensating to a low supply of oxygen. 32.5-34.3% C. 5-15.5% D. 41.0-51.0% 4. Significance? You can switch gaming types as you progress through the game. It is a blank worksheet that allows you to use a nursing lab manual and fill in the normal range, critical RED FLAG values, relevance to practice, and most importantly, the "lab planning" or nursing assessments/interventions required based on this lab derangement. Although half of themagnesium in the body is stored in bones, magnesium can also be found in cells of organs and body tissues. Urine contaminated by blood from menstruation or hemorrhoids). In over 20years of Nursing Practice, I found Nurseslabs an incredibly rich Nursing information site that is free! I am from india. EnglishMed has various exercises and mini-games made for nurses, doctors,and other healthcare workers. Normal and critical values for serum Sodium (Na+): Increased sodium levels (Hypernatremia) may indicate: Decreased sodium levels (Hyponatremia) may indicate: Potassium is the most abundant intracellular cation that serves important functions such as regulate acid-base equilibrium, control cellular water balance, and transmit electrical impulses in skeletal and cardiac muscles. 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. Normally, there are white blood cells present in the urine, but they are so few that there is no leukocyte esterase detectable in dipstick test. Phosphorus is involved in the intracellular metabolism of proteins, fats,and carbohydrates. This Guides & How Tos item is sold by IconicMMDesigns. Normal values and critical values for total, direct, and indirect bilirubin: Increased conjugated (direct) bilirubin levels may indicate: Increased unconjugated (indirect) bilirubin levels may indicate: Albumin is the main plasma protein of blood that maintains oncotic pressure and transports bilirubin, fatty acids, medications, hormones, and other substances that are insoluble in water. Serum protein reflects the total amount of albumin and globulins in the plasma. Our members represent more than 60 professional nursing specialties. Good luck! In microscopic examination, the urine sample is centrifuged so sediments will settle at the bottom and the clear part can be discarded. 3. name and discuss at least 2 cardiac enzyme lab tests and 3 serum electrolyte and blood group tests and their nursing implications. Treatments Nursing Considerations Hyponatremia (Example) Normal: 135-145mEq/L Most abundant cation in Extra cellular fluid. 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. It is useful in diagnosing pernicious and iron deficiency anemias and other liver diseases. University of Huddersfield. Note that many medications may cause false-positive or false-negative results. Drugs that may decrease hemoglobin: Aspirin, antibiotics, sulfonamides, trimethadione, anti-neoplastic drugs, indomethacin, doxapram, rifampin,and primaquine. 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. Detect coagulation disorders in clotting factors such as, Hypofibrinogenemia von Willebrands disease, Early stages of disseminated intravascular coagulation. Cherry Ames' Nursing Game: This is a bit campy, but fun nonetheless. It can also reflect an improper collection of urine specimen (e.g. A high total WBC count with a left shift means that the bone marrow will release an increased amount of neutrophils in response to inflammation or infection. 2. name and discuss at least 5 hematology lab tests and coagulation tests and their nursing implications. Theres always the fear of messing things up and not being able to meet the patients health needs. Hemoglobin is the protein component of red blood cells that serves as a vehicle for oxygen and carbon dioxide transport. Extrahepatic duct obstruction (gallstone, inflammation, scarring, surgical trauma, or tumor). These are the steps to follow in obtaining a blood sample: Suggested reading and additional resources for this Normal Laboratory Values guide: currently working as a nurse manager, this article is very helpful aspiring junior nurses to achieve their goals. Understanding the normal laboratory values of blood glucose is an essential key in managing diabetes mellitus. (Nursing Review and RN Content Guide, Registered Nurse, Practitioner, Study Guide, Laboratory Medicine Textbooks, Exam Prep) by Chase Hassen and Nurse Superhero. Casts are cylindrically shaped particles formed from the coagulated protein secreted by renal cells. Abnormal changes in serum chloride levels is usually an indicator of metabolic changes in the body. Syndrome of inappropriate antidiuretic hormone (SIADH). In general, creatinine levels vary depending on a persons body size and muscle mass. Normal and critical values for Potassium (K+): Increased potassium levels (Hyperkalemia) may indicate: Decreased potassium levels (Hypokalemia) may indicate: Nursing Considerations for Serum Potassium. Lab values: pH 7.23, paCo2 37, HCO3 18 * 3. It will test your knowledge about medical conditions and diseases as well as your clinical knowledge. 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. Like glucose, ketones should not be present in the urine. Sodium is a major cation of extracellular fluid that maintains osmotic pressure and acid-base balance, and assists in the transmission of nerve impulses. Also Read: Nursing Mnemonics and Tricks for Nurses (Diagnostics). (478) $2.50. Listed on 14 Apr, 2023 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). Could you point me in the right direction. With these online nursing games, you can test your knowledge and sharpen your memory while having fun. Nonparathyroid PTH-producing tumor such as renal or lung carcinoma, Hyperphosphatemia secondary to renal failure. 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. Im in very first term of the nursing program, and This is an informative information indeed. The average time you taketo answer correctly is also reflected in the results to help you evaluate your own progress. Elevated WBCs in the urine is a sign of an infection or inflammation of the urinary tract. Presence of detectable albumin, or protein, in the urine is indicative of abnormal renal function. Calcium is usually binded with protein in the blood. $2.00 (36 used & new offers) Other formats: Kindle , Audible Audiobook. At the start of the game, you and the other players will have $500 and 5 disease cards. In Blood Flow through the Heart, youwill have to trace the flow of a drop of blood through the heart. What is normal Hematocrit? 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. Lab tests and 3 serum electrolyte and blood group tests and their nursing.. In clotting factors such as, Hypofibrinogenemia von Willebrands disease, early of! 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