ELECTROLYTES:
-Na 135-145meq/L mmol/L
-Mg 1.5-2.5meq/L Urine: 6-8.5meq/day (Critical <8.5 or >3)
K. 3.5-5.5meq/L (NB: 3.5-6 Infant: 4-5.5) Urine: 25-125meq/day
-Cl 97-107meq/L
-P 2.5-4.5mg/dL
-Ca 4.5-5meq/L or 9-11mg/dL Urine: Total: 22-29 meq/L (<250mg/day)
-KCl: never given by IV push,IM,SQ
Dilution: <1meq/10ml
Max. infusion rate: 5-10meq/hr
NEVER exceed 20meq/hr
Electrolytes Regulator: kidney, endocrine, GI
-ABG:
Ph 7.35-7.45
PCO2 35-45 mmHg
HCO3 22-26meq/L
PaO2 80-100%
SaO2 >95% (Arterial)
CVP 2-6mmHg/3-12 (>12 hypervolemia <3 hypovolemia)
CBC:
-RBC 4-5.5mil/mm3
-Hgb 12-18G/dL (g/100ml) ) F: 12-16 M:14-18
-Glycosylated Hgb (HbA1C) 4-6% (Poor: >9)
-Hct 35-50% (>50 Fluid overload <35 Dehydration)
-Erythrocyte Sedimentation Rate (ESR) <20 mm/hr
-Reticulocyte Count .5-2.5% 25-75k
-WBC 4-11k/mm3 5-10
CHEMISTRY:
-Glucose 70-110mg/dl DM Dec: BM
-2hrs Postprandial: Up to 140mg/dl
-BUN 7-22mg/dl 5-25 Kaplan
-Serum Creatinine .5-1.5mg/dl (Saunders) Older Adult: <2
-Urine Creatinine 500-2000mg/day
-Creatinine Clearance. 75-125ml/min
-Spec. Gravity 1.010-1.030
-Uric Acid 3.5-7.5mg/dl or 2.5-8.5
-Urea (Serum) 20-40mg/dl
-Bilirubin <1mg/dl Conjugated(Direct): <.4
-Pyruvate (Pyruvic Acid) .3-.9mg/dl
-Triglyceride 35-160mg/dl
-HDL >60mg/dl
-LDL <75 or 77.3/140 or >50% reduction
-Total Cholesterol <200mg/dl (120-200)
-Globulin 2-3.5g/dl
Albumin 3.5-5.5g/dl Inc: Bact. Meningitis
CHON 6-8g/dl Urine: <150 mg/day(10-150) Inc: BM, Polio, GBS, MS
-Ammonia (NH3) 15-70mcg/dl umol/L
-Prostate Spec Antigen(PSA) <4ng/ml
-Serum Alcohol 0mg/dl Intoxication >.1
TOXIC: >.15 (50mg/100cc of blood)
CARDIAC ENZYMES:
-CKMB (Heart) <4% <3ng/ml Most Spec.
-Troponin <.4ng/ml Best indicator of MI
-Troponin T <.01 ng/ml
-INR (Intl Normalized Ratio) 2-3
-Bleeding time 8-15 Saunders <9mins
-Clotting time 5-15mins
-Platelet 150-450k/mcL
-Warfarin Therapy:
Standard Warfarin therapy. 2-3
High dose Warfarin therapy 3-4.5
ANTI-COAGULANT:
-Heparin/Lovenox/Dalteparin (Partial Thromboplastin Time/APTT) 30-60 Max-112
Antidote: Protamine Sulfate
-Coumadin (Na Warfarin/PT) 10-12secs 10-14
Antidote: Vit K
-URINALYSIS:
Volume 1-2L/day Normal: 1500cc/day Minimum: 600cc/day
30cc/hr or 720cc/day Pedia: 2cc/kg/hr
-Spec Gravity 1.002-1.030
-Ph 5-8
-Casts 1-2 per high power field
-VITAL SIGNS:
BP <120/80mmHg
PR 60-80bpm
RR 12-20bpm
Temp 98.6F or 36.5-37.5C
Hypothermia: <35C
-RULE OF 9s (TBSA):
Head 9%
Arms 18%
Body 36%
Legs 36%
Genetalia 1%
Body Mass Index (BMI):
-Underweight <18.5 kg/m
-Normal. 18.5-24.9
-Overweight 25-29.9
Obesity class I 30-34.9
Obesity class II 35-39.9
Obesity class III (extreme, morbid) >40
VITAMINS & MINERALS:
-Fe 60-170mcg/dl ug/dL
-Vit A 30-95mcg/dl
-Vit E 5-20mcg/ml
-Vit B6 5-24ng/ml
-Zinc 60-130 ng/dl 70-100 umol/L
-Ascorbic Acid .2-2mg/dl
-Lactid Acid 4.5-20mg/dl
-Blood Volume 8.5-9% of Total Body Weight
-CO <5% of Total Hgb
-CD4 Cell Count 500-1500 cells/uL
MATERNITY:
-FHR 120-160bpm
-Variability 6-10bpm
-FHT 20wks
-Quickening 16wks
-Fundal Height 24-34wks
-Contractions 2-5mins apart
-Amniotic Fluid 500-1200ml Duration <90sec Intensity <100mmHg
-Blood Loss Vaginal birth: 200-300ml CS: 500cc Haemorrhage: 500
-AVA V: Oxygenated blood
-APGAR Appearance, Pulses, Grimace, Activity, Reflexes
(Done at 1&5mins)
(0-absent, 1-decreased, 2-strongly positive)
-Sperm Count 20-150
MEDICATIONS:
-Li .6-1.2meq/L (Toxic 1.5)
-Digoxin .5-2 ng/ml (Toxic 2.5)
-Insulin: Regular
Onset 30-60 min
Peak 2-4hr
Duration 5-7hr
NPH 1-3 hr onset, 6-12 hr peak and 18-24 duration
Lispro-fast acting and to eat right away, don’t mix
HHNKS: Glucose >800, no ketones, acidosis
Cerebral Spinal Fluid (CSF):
-CSF Glucose 50-80 ng/dl
-CSF Protein 15-45 mg/dl
-IV FLUIDS:
Isotonic PLR, D5W, .9 NaCl, PNM
Hypotonic .45 NaCl, .3 NaCl?
Hypertonic 3% NaCl?, D10-15W, D5LR, D5NM
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