Blood Gases End Organ Markers Blood Bank Infection hodgepodge
100
What is <7.35
what pH is considered "acidotic"
100
What is markers for renal function. (fyi: in severe kidney disease, K may be elevated)
BUN/creat
100
What is 3 days or up to 4 months for a newborn
how long is a type and screen good for
100
What is elevated or decreased
WBC count in sepsis
100
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?
200
What is normal pH
what makes a blood gas "compensated"?
200
What is markers for liver function
AST/ALT
200
only prbc's. a type and screen is good for plasma for 6 months
What blood products get crossmatched?
200
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"?
200
elevated amylase/lipase show pancreatitis; common after lymphatic intervention or with other GI abnormalities
amylase/lipase
300
Lactate accumulates when there is inadequate O2 delivery. the body is stressed. early warning for diminished cardiac output
Why do we care about lactate?
300
BNP is increased in heart failure, it's released with the "stretch" of the heart
BNP
300
What is ab negative
universal donor for plasma
300
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
300
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
400
What is respiratory insufficiency (too little rate or too little volume; sleepy, needs more breaths, atelectasis, effusion)
common cause of respiratory acidosis
400
urine output of less than 0.5 mL/kg/hr can indicate poor renal function or perfusion
urine output
400
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?
400
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
400
What is chloride (too low, loop diuretics, Lasix, won't work)
what electrolytes must be close to normal for diuretics to work?
500
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
500
elevated coags in absence of anticoagulant therapy indicates liver damage
coags
500
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
500
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
500
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






CICU Lab Monitoring

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