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I am taking the NCLEX-RN this Friday and I am in the process of making sure I know my lab values,drug values and tidbits to remember that I see come up frequently when studying the practice questions.
Here are some I can think of...anyone else know of any I missed??
Na 135-145
K 3.5-5.5
Ca 8-10
Mg 1.5-2.0
Platelets 150,000-450,000
ptt 30-60 seconds
WBC 5,000-11,000
RBC 4.5-6.0 million
Hct 35-45%
Hgb 12-16
BUN 7-20
Creatinine 0.5-1.5
Quickening 16 weeks
fetal heart tones 20 weeks
fetal heart rate 120-160
Litium intial 1.0-1.5, therapeutic 0.6-1.2
Dilantin 10-20
Digoxin 0.8-2.0
Heparin look at ptt and antidote is Protamine Sulfate
Coumadin look at INR and antidote is vitamin K
Mag Sulfate antidote is Calcium Gluconate
narcotic antidote is Narcan
Tyenol antidote is Mucomist
Insulin: Reg 30-60 min onset, 2-4 hr peak and 5-7 duration
NPH 1-3 hr onset, 6-12 hr peak and 18-24 duration
Lispro-fast acting and to eat right away
pH 7.35-7.45
PaCO2 35-45
PaO2 90-100%
HCO3 22-26
Rules of Nines: 9% is head and both arms, 18% is front torso, back torso and both legs and 1% is groin
5 P's with fractues: pain, pallor, pulselessness, paresthesia and paralysis
Cranial nerves: Olfactory, Optic, Oculomotor, Trochlear, Trigeminal, Abducens, Facial, Acoustic, Glassopharnygeal, Vagus, Spinal Accessory and Hypoglossal
Fetal Heart strips: VEAL CHOP (Variable is cord, early is head, accelerations is ok and late is placental insuffenciency)
Cancer: CAUTION signs
starve a gastric ulcer, feed a duo ulcer
200-300 ml blood loss with lady partsl birth, 500 ml with c-section, over is hemorrhage
Okay...Did I miss anything? I think I went on a tangant and probably can think of more but anyone have others??
Thanks!
Great lists, but remember that it is not just memorizing these values, but understanding what they mean in relation to a disease process. This is what they will be testing you on for the exam, what you would do in a certain situation with a patient with a certain set of lab values. What you would do and what you would do next.
Having one abnormal lab does not give the entire picture in many cases but usually a number of results will be off. And they are not going to be asking you the specific number that is normal, but if can recognize something that is not.
Best of luck on your exam.
Calcium 8.3-10.5 mg/100ml increased levels think - hyperparathyroidism, nonparathyroid PTH producing tumor, metastatic bone tumor, Paget's disease, prolonged immobilization, vitamin D intoxication, lymphoma, Addison's disease, acromegaly, hyperthyroid
Decreased levels think: hypoparathyroidism, renal failure, hyperphosphatemia, Rickets, vitamin D deficiency, osteomalacia, pancreatitis, alkalosis
Just wanting to bump this thread up. Let get some labs and sign & symptoms of if it's high or low. Example: hypocacemia a serum calcium level below 8.5
Signs/symptoms are : tachycardia, hypotension, paresthesias, twitching, cramps, tetany, positive Chvotek's or Trousseau's sign, diarrhea, hyperactive bowel sounds, prolonged QT interval
SCmomof3, RN
407 Posts
FABULOUS!! Thanks for the compilation :)