Alexandra Shared "302 Exam 1" - 49 Picmonics

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302 Exam 1

Normal Electrolyte Lab Values
Potassium (K+)
3.5 to 5.0 mEq/L
Calcium (Ca2+)
8.5 to 10.5 mg/dL
Phosphate (PO43–)
2.5 to 4.5 mg/dL
Magnesium (Mg2+)
1.5 to 2.5 mEq/L
Sodium (Na+)
135 to 145 mEq/L
Chloride (Cl)
95 to 105 mEq/L
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2 mins
Potassium (K+) Lab Value
3.5 to 5.0 mEq/L
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20 secs
Sodium (Na+) Lab Value
135-145 mEq/L
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24 secs
Chloride (Cl-) Lab Value
95-105 mEq/L
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27 secs
Calcium (Ca2+) Lab Value
8.5 to 10.5 mg/dL
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25 secs
Phosphate (PO43-) Lab Value
2.5 to 4.5 mg/dL
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29 secs
Magnesium (Mg2+) Lab Value
1.5 to 2.5 mEq/L
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28 secs
BUN (Blood Urea Nitrogen) Lab Values
10-20 mg/dL
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40 secs
Creatinine Lab Values
Measures Renal Function
0.6 - 1.3 mg/dL
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1 min
Albumin Lab Value
3.5 - 5.0 g/dL
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42 secs
pH - Blood and Urine Lab Value
Blood
7.35 - 7.45
Urine
4.0 - 8.0
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1 min
Urine Specific Gravity Lab Value
1.003-1.030
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1 min
Blood Glucose Lab Value
70-100 mg/dL
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25 secs
Hemoglobin A1c Lab Value
4-6%
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1 min
Cholesterol Lab Values
LDL (Low Density Cholesterol)
< 100 mg/dL
HDL (High Density Cholesterol)
> 40 mg/dL Males
> 50 mg/dL Females
Total Cholesterol
< 200 mg/dL
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1 min
Triglycerides Lab Value
< 150 mg/dL
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50 secs
Cardiac Enzyme Evaluation: Myoglobin
Measures
Skeletal or Cardiac Muscle Injury
Time Ranges
Onset: 1 - 4 Hours
Peak: 12 Hours
Return to Normal: 24 Hours
Considerations
Elevation After 24 Hours: Reinfarction
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2 mins
Cardiac Enzyme Evaluation: Troponin
Measures
Cardiac Muscle Injury
Time Ranges
Onset: 1 Hour
Peak: 10 - 24 Hours
Return to Normal: 5 - 14 Days
Considerations
Most Specific for Cardiac Muscle
Treated Aggressively
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2 mins
Mixing NPH and Regular Insulin for Injection
Verify Order
Roll NPH Insulin
Alcohol to Multiuse Vials
Inject Air into NPH Insulin (Cloudy)
Inject Air into Regular Insulin (Clear)
Withdraw Regular Insulin Units
Withdraw NPH Units
Verify with 2nd Nurse
Discard if Error
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3 mins
Hypokalemia
Assessment
< 3.5 mEq/L
Muscle Weakness
Arrhythmia
U Wave
Ileus
Hyporeflexia
Interventions
IV K+ Infusion at 5-10 mEq/hr
Give Orally with Food
Nursing Considerations
Monitor Respiratory Status
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3 mins

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