Blood Gases | End Organ Markers | Blood Bank | Infection | hodgepodge |
---|---|---|---|---|
What is <7.35
what pH is considered "acidotic"
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What is markers for renal function. (fyi: in severe kidney disease, K may be elevated)
BUN/creat
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What is 3 days or up to 4 months for a newborn
how long is a type and screen good for
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What is elevated or decreased
WBC count in sepsis
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cortisol should be elevated during stress (ie-after surgery). if we test & it's normal, the body's endogenous catecholamines might be lacking, so we give the patient hydrocort to mimic the natural response
why do we care about cortisol levels?
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What is normal pH
what makes a blood gas "compensated"?
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What is markers for liver function
AST/ALT
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only prbc's. a type and screen is good for plasma for 6 months
What blood products get crossmatched?
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a left shift means the body is pumping out more wbc's quickly because they are needed to fight infection so they are in the blood stream at an earlier stage of development (bands, meta, myelo, pro, band)
what is a "left shift"?
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elevated amylase/lipase show pancreatitis; common after lymphatic intervention or with other GI abnormalities
amylase/lipase
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Lactate accumulates when there is inadequate O2 delivery. the body is stressed. early warning for diminished cardiac output
Why do we care about lactate?
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BNP is increased in heart failure, it's released with the "stretch" of the heart
BNP
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What is ab negative
universal donor for plasma
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What is c reactive protein. it is made by the liver and released in response to inflammation. it is a blind marker & can also be elevated in trauma, heart attack, infection, chronic inflammatory disease, cancer
what is CRP
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newborns, especially preemies, can "spill bicarb" into their urine, making them appear falsely acidotic. the kidneys aren't reabsorbing the bicarb (normal process), so when the urine (normally acidotic) contains bicarb, the pH will be higher
urine pH
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What is respiratory insufficiency (too little rate or too little volume; sleepy, needs more breaths, atelectasis, effusion)
common cause of respiratory acidosis
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urine output of less than 0.5 mL/kg/hr can indicate poor renal function or perfusion
urine output
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a positive antibody screen means the baby has made an antibody to a certain rbc antigen. once it is known, the patient must receive that antigen negative blood.
what does a positive antibody screen mean?
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it is produced by many cells in the body, often in response to infection or injury; significantly increased with bacterial infections and sepsis
what is procalcitonin
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What is chloride (too low, loop diuretics, Lasix, won't work)
what electrolytes must be close to normal for diuretics to work?
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a venous co-ox is generally ordered to look at the mixed venous sat, which is a marker of heart failure. (arterial co-ox may be ordered to check for methemoglobin for iNO toxicity
why do we generally always want a venous co-ox
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elevated coags in absence of anticoagulant therapy indicates liver damage
coags
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when an infant is listed for incompatible heart transplant, this shows how much antibody the baby makes against different blood types
why do we do iso-hemagglutination titers
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culture bottle top should always be wiped with an alcohol pad, the blood culture is always transferred first!!! , it is collected prior to start of antibiotics
how do we prevent contamination of a blood culture
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What is low cardiac output, sepsis, hypothermia, inadequate systemic, metabolic disease, altered glucose metabolism (high or low), preemie kidney disease, liver failure, seizures, renal failure
causes of metabolic acidosis
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