Mark Klimek - Labs
Lab Value - Categories - answer A=Abnormal --> do nothing
B=Be concerned --> Assess/monitor
C=Critical --> Do something
D=Deadly Dangerous --> do something NOW
Creatinine - answer Best indicator of kidney function
0.6-1.2
Elevated = A
INR - answer Monitors Warfarin (Coumadin) therapy
Therapeutic = 2-3
≥4 = C
-patient could bleed to death
1. hold all warfarin
2. assess for bleeding
3. prepare to admin Vit K
4. Call MD
Potassium (K+) normal range - answer 3.5-5.0 mEq/L
Hypokalemia = C
-Assess the heart
-Prepare to give K+
-Call MD
Mild Hyperkalemia (5.4-5.9) = C
-Hold K+
-Assess heart
-Prepare Kayexelate and D5W with regular insulin
-Call MD
≥6 = D
-Do steps simultaneously
-Need help once levels hit 6; if cardiac symptomatic call rapid response
pH - answer 7.35-7.45 (as pH goes so goes the patient, except for K+)
Low pH in the 6's = D (severe acidosis)
, Mark Klimek - Labs
-Immediately assess vital signs
-call MD if vitals are bad, also call rapid response
BUN - answer 8-25
Elevated = B
Check for dehydration
Hemoglobin (Hgb) - answer 12-18
8-11 = B
<8 = C
-assess for bleeding, may need transfusion
-call MD
Bicarb (HCO3) - answer 22-26
Abnormal = A
CO2 - answer 35-45
in 50's = C
-assess respiratory status
-pursed lip breathing!!!
in 60's = D Respiratory Failure
-assess respiratory status; if symptomatic call rapid reponse
-pursed lip breathing
-prepare ventilate and intubate
-call MD
-call RT
Hematocrit (Hct) - answer 36-54
Abnormal = B
-assess for bleeding
PO2 - answer 78-100
Low 70-77 = C
(Respiratory insufficiency)
-Assess respiratory status
-Give oxygen
Low ≤60s = D
(Respiratory failure)
Lab Value - Categories - answer A=Abnormal --> do nothing
B=Be concerned --> Assess/monitor
C=Critical --> Do something
D=Deadly Dangerous --> do something NOW
Creatinine - answer Best indicator of kidney function
0.6-1.2
Elevated = A
INR - answer Monitors Warfarin (Coumadin) therapy
Therapeutic = 2-3
≥4 = C
-patient could bleed to death
1. hold all warfarin
2. assess for bleeding
3. prepare to admin Vit K
4. Call MD
Potassium (K+) normal range - answer 3.5-5.0 mEq/L
Hypokalemia = C
-Assess the heart
-Prepare to give K+
-Call MD
Mild Hyperkalemia (5.4-5.9) = C
-Hold K+
-Assess heart
-Prepare Kayexelate and D5W with regular insulin
-Call MD
≥6 = D
-Do steps simultaneously
-Need help once levels hit 6; if cardiac symptomatic call rapid response
pH - answer 7.35-7.45 (as pH goes so goes the patient, except for K+)
Low pH in the 6's = D (severe acidosis)
, Mark Klimek - Labs
-Immediately assess vital signs
-call MD if vitals are bad, also call rapid response
BUN - answer 8-25
Elevated = B
Check for dehydration
Hemoglobin (Hgb) - answer 12-18
8-11 = B
<8 = C
-assess for bleeding, may need transfusion
-call MD
Bicarb (HCO3) - answer 22-26
Abnormal = A
CO2 - answer 35-45
in 50's = C
-assess respiratory status
-pursed lip breathing!!!
in 60's = D Respiratory Failure
-assess respiratory status; if symptomatic call rapid reponse
-pursed lip breathing
-prepare ventilate and intubate
-call MD
-call RT
Hematocrit (Hct) - answer 36-54
Abnormal = B
-assess for bleeding
PO2 - answer 78-100
Low 70-77 = C
(Respiratory insufficiency)
-Assess respiratory status
-Give oxygen
Low ≤60s = D
(Respiratory failure)
