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I: assess adequacy of oxygenation; used to manage pt's respiratory and metabolic acid-base and electrolyte homeostasis
Normal (stable)
Abnormal (unstable)
pH
alkalosis or acidosis
pCO2
I: measure of lung compensation for respiratory alkalosis or acidosis
Any -Metabolic alkalosis (hypokalemia, chronic vomiting); Respiratory alkalosis (hypoxemic statesCHF, CO poisoning, acute severe pulmonary disease; pain) Any -Metabolic acidosis (ketoacidosis, severe diarrhea); Respiratory acidosis (respiratory failure) -COPD, oversedation, head trauma, overoxygenation in a pt. with COPD -hypoxemia, pulmonary emboli, anxiety, pain -polycythemia (inc. amt. hemoglobin), inc. inspired O2, hyperventilation -mucus plug, bronchospasm, pneumothorax, pulmonary edema, restrictive lung disease, inadequate O2 in inspired air, severe hypoventilation -chronic vomiting, COPD -chronic/severe diarrhea, starvation, diabetic ketoacidosis, acute renal failure Used to find O2 content (rqs Hgb values and pO2); once obtained results are those found with pO2 or (see above)
pO2
I: measures pressure of O2 dissolved in the plasma; determines effectiveness of O2 therapy
HCO3
I: measure of metabolic component of acid-base equilibrium
HCO3: 21-28mEq/L
O2 Saturation
I: indicates % of hemoglobin saturated w/O2
O2 Sat: 95-100%
Apoliopoprotein
I: Evaluates risk of atherosclerosis and CAD
ApoB-adult male: 50- -CAD, diabetes, hypothyroidism 125mg/dL -hyperthyroidism, malnutrition, chronic pulmonary disease Lp(a)-Caucasian -premature CAD, uncontrolled DM, male: 2.2-49.4mg/dL, severe hypothyroidism A-A male: 4.6-malnutrition 71.8mg/dL Normal: 70-110mg/dL Critical value for adult male: <50 and >50yo: increase in >400mg/dL normal range -hyperglycemia, DM, acute stress response, chronic renal failure, acute pancreatitis, diuretic therapy, corticosteroid therapy -insulinoma, hypothyroidism, hypopituitarism, insulin overdose,
CBG
I: Direct measurement of blood glucose level
starvation RBC
I: Related to hemoglobin and hematocrit levels, another way to evaluate the # of RBCs in the peripheral blood
-erythrocytosis (illness, physiologic response to environment), severe COPD (chronic state of hypoxia), severe dehydration -hemolytic anemia (transfusion reaction), hemorrhage, dietary deficiency (iron, VitB), lymphoma -poorly controlled diabetic -hemolytic anemia, chronic blood loss, chronic renal failure
Glycosylated hemoglobin
I: Monitor diabetes treatment; measures amount of HbA1c; gives average glucose levels of last 100120 days
Nondiabetic adult: 2.2%-4.8% Good diabetic control: 2.5%-5.9% Fair diabetic control: 6%-8% Poor diabetic control: >8%
-diabetes mellitus, renal glycosuria (excretion of glucose), nephrotoxic chemicals (carbon monoxide)
Vary with patient age, Decreased lung volume/capacity, sex, height, and weight reduced or impaired diffusing capacity, I: Measures lung volume, evaluates reduced PIFR, reduced air flow rates and response to bronchodilator therapy, VC, abnormal air flow curves, increased determines the diffusing capacity of RV and ERV...a specific combination of the lungs these can indicate a particular problem Bronchography (X-ray)
I: Assess pulmonary function
Bronchiectasis (bronchial destruction, pockets of infection), bronchial obstruction (cancer, mucus plug), or tracheobronchoesophageal fistula