Lab Values

Taken from Mark Klimek Lectures

># (greater than) <# (Lesser than)

A (Very low priority) B (Low priority) C (High priority) D (Very high priority)

NORMAL RANGE ABNORMAL/PRIORITY

Creatinine 0.6-1.2 A (No matter how high or low the number is, it’s still
an A)

INR 2-3 (Warfarin) >4 C

- Control value is 1-1.5

K+ 3.5-5.3 <3.5 C
5.4-5.9 C
>6 D
- 3.5 and 5.3 are opposite

pH 7.35-7.45 6.0’s (6.1, 6.2...) D

BUN 8-25 A

Hemoglobin 12-18 8-11 B

<8 C

HCO3 22-26 A
- 2+2+2=6 (22-26)

PCO2 35-45 50’s C

60’s D
- Same as pH range just take away the 7
- 60’s sign of resp failure

Hematocrit 36%-54% Elevated B

- Norm range is 3x the hemoglobin range (12x3=36 & 18x3=54)
- Elevated levels indicates dehydration

PO2 80-100 70’s C

60’s D

O2 Sat 93%-100% <93 C

- COPD clients do not apply
- False elevation can occur in anemic clients,clients who have undergone a dye procedure
or client is in a very brightly lit area.
BNP <100 >100 B

Na+ 135-145 Abnormal B

Abnormal + change in LOC C

WBC 5,000-11000
>500 (ANC)
>200 (CD4)
- These three lab values determine if client requires neutropenic precaution
- If CD4 is below 200 and client has history of HIV, they now have AIDs

Platelet 150,000-400,000 <90,000 C

<40,000 D

RBC 4-6 mill Abnormal B

GENERAL NOTES
- There are only FIVE D’s (VERY HIGH PRIORITY) and 4 of them have the number 6
- K+ (>6)
- pH (6.0’s)
- PCO2 (60’s)
- PO2 (60’s)
- Platelet (<40,000)
- There are EIGHT C’s (HIGH PRIORITY)
- INR (>4)
- K+ (<3.5 and 5.4-5.9)
- Hemoglobin (<8)
- PCO2 (50’s)
- PO2 (70’s)
- O2 Sat (<93%)
- Na+ (abnormal + change in LOC)
- Make sure you know both D and C cause they are high priority the rest are not important
but know them
- I highly recommend if you have access to Mark Klimek notes to listen to it atleast once