Notez On Nursing....

SERUM GASTROINTESTINAL STUDIES
Protein: 6.0 – 8.0 g/L
Albumin: 3.4 to 5 g/dL – binds protein decreased in malnutrition
Alkaline phosphatase: 4.5 to 13 King-Armstrong units/dL
Increase as osteoporosis marker
Ammonia: 35 to 65 ug/dL
Amylase: 50 – 150 - increase pancreatitis
Lipase: 10 - 140 U/L – increase in pancreatitis
Bilirubin: direct: <1.0 mg/dL increase jaundice

Uric acid: 2.5 – 8 ng/dL
Transferrin: > 100 for Protein test

Lipids: 400 – 800 mg/dL no contraceptive may increase level
Cholesterol: 140 to 200 mg/dL
LDL: <130 mg/dL
HDL: 30 to 70 mg/dL
Triglycerides: <200 mg/dL

THYROID STUDIES
Thyroid –stimulating hormone (thyrotropin; THS): 0.2 to 5.4 ug/dL
Triiodothyronine (T3): 80 to 230 ng/dL
Thyroxine (T4): 5.0 to 12.0 ug/dL
Thyroxine free (FT3) : 0.8 to 2.4 ng/dL


RENAL FUNCTION TEST
Creatinine: 0.6 – 1.3 mg/dL increase level indicates decrease GFR
Blood urea nitrogen (BUN): 7 – 20 mg/dL
Urine specific gravity: 1.016 - 1.022 increase in SIADH; decrease in diabetes insipidus
Creatinine Clearance: 100-120
Glumerular Filt Rate: 125 ml

MI MARKERS
CK-MB: 5%
Normal CK is 25-175 U/L
Troponin T >0.1 to 0.2 ng/mL = MI
Troponin I value: normal (<0.6 ng/mL)

COAGULATION STUDIES
Activated partial thromboplastin time(APTT): 20 – 35 seconds
- heparin 1.5 – 2.5 seconds
Prothrombin time(PT): male: 10 – 12 seconds
International Normalized Ratio(INR): 2.0 - 3.0 for standard Coumadin therapy

Bleeding time: 2.5 to 8 minutes
Clotting time: 8 – 15 minutes
Platelet count: 150,000 to 400,000 cells/Ul
Fibrinogen: 180 – 400 mg/dl

ERYTROCYTES STUDIES
Blood volume: 5000mL
Red blood cell (RBC): male: 4.5 to 6.2 million/uL
Hemoglobin– 14 – 17
Hematocrit: male: 42% - 52% (increased in hemoconcentration, fluid loss and dehydration)
Serum Iron: 65-175
Erytrocyte sedimentation rate(ESR): 0 – 30 mm/hr increase in
Inflammation Dx Hodgkin (RedStenberg cells)-painless lympnode

Phenylalanine Level: <2 mg/dL
PKU: >25 mg/dL
White blood cell (WBC): 4500 to 11,000


WHITE BLOOD CELL DIFFERENTIAL
Neutrophils 56% or 18000 – 7800/uL
Lymphocytes 34% or 1000 – 4800/uL
Monocytes 4% or 0 – 800/uL
Bands 3% or 0 – 700/uL
Eosinophils 2.7% or 0 – 450/uL
Basophils 0.3% or 0 – 200/uL

CD4: 500-1600 cells
Viral Load < 400 (without AIDS)

PRESSURES
Spinal pressure: 70 to 200mmH2O
Normal serum osmolality: 285 – 295 mOsmlkgH2O increase in dehydration;
Decrease in over hydration

Central venous pressure: 4 to 10 cmH2O (increased in cardiac overload; decreased in dehydration)
Pressure within the right atrium: 2 to 7 mmHg
Left Atrial Pressure: normal (1 to 10 mm Hg)
Pulmonary capillary Artery pressure: 5 to 20 mmhg
Pulmonary artery pressure: systolic: 16 to 30 mmHg
Diastolic: 0 to 7 mmHg
Normal cardiac output : 4 to 8 L/min
CSF pressure: 5 – 15
CSF protein: 15 – 45 mg/dL increase in Guillain-Barre syndrome

OTHERS
Normal sweat chloride: <40 mEq/L
scalp pH: 7.26 and above
Safe Suction Range: normal [Infant] 50-95 mm Hg
[Child] 95-115 mm Hg
[Adult]100-120 mm Hg)


PR Interval: normal (0.12-0.20 seconds) QRS measurements: normal (0.04 to 0.10 second)