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Acute Care_ Lab Values & Vital Signs 100- SURE ANSWERS_.pdf
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8/8/24, 9:19 AMAcute Care: Lab Values & Vital Signs
Jeremiah
Terms in this set (64)
>Professional responsibility to provide evidence-based care, in collaboration with
interprofessional team to achieve optimal patient outcomes.
>To determine an appropriate plan of care by weighing benefit vs risk
Why are lab values and clinical
considerations important?
>Recognize the possibility of RAPID change in patient's condition.
>Vitals and lab value trends can help determine the intensity of therapeutic
interventions
1. RBC
2. WBC
Blood sample tests for 4 specific cells:
3. Platelets
4. Hemoglobin & Hematocrit
• Adult Male: 4.7-6.1
Average RBC in an adult male and female.
• Adult Female: 4.2-5.4
-Monitor for fatigue during interventions.
-Educate on interval training and energy conservation
What are some clinical implications when it -Use Borg RPE scale + VS monitoring to aid in safer activity progression.
comes to RBC -Screen for VTE
-Anemia: Monitor vital signs and cardiac rhythm, leg cramps, cognitive impairments,
and OH during PT interventions
What is hemoglobin Main component of RBC's. Transport oxygen and CO2
What is the reference range of hemoglobin >Adult male: 14-18
in >Adult female: 12-16
-Adult male >Pregnant female: >11
-Adult female >Older adult: values are slightly decreased
-Pregnant female
-Older adult • Critical values: <5 or >20
-CRITICAL VALUES
AKA erythrocytosis, refers to increased red blood cell mass
Causes:
- Severe dehydration
What is Polycythemia? -Chronic pulmonary disorders
-What does it cause? -Heart failure
-Clinical implications?
Clinical implications:
-Monitor vital signs and cardiac rhythm during PT interventions
-Provide fall prevention screening and intervention due to increased fall risk
-Implement activity pacing strategies to prevent stress on the cardiovascular system
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, 8/8/24, 9:19 AM
Blood disorder that occurs when the body doesn't
have enough healthy red blood cells to carry
oxygen to tissues throughout the body
Cause:
-hemorrhage/blood loss
What is Anemia? -Vit B12 and Iron deficiency
-What does it cause? -Oncologic conditions
-Clinical implications?
Implications:
• Collaborate with IDT regarding risks vs benefits
and the timing of transfusion and PT sessions
• Monitor SpO2 levels more closely.
• Monitor for orthostatic hypotension and Educate
patient to avoid quick postural changes
% of RBCs in the total blood volume.
What is Hematocrit?
-Abnormal values indicate blood loss or fluid imbalance.
-What does abnormal values indicate?
-What is the average in adult male, female,
-Adult Male: 42-52%
pregnant female, and older adults ?
-Female: 37-47%
-Pregnant female >33% -Slightly decreased in older adult
Hb (hempglobin) levels: • <8 g/dl: No exercise
-No exercise
-Decreased exercise tolerance, easy • 8-10 g/dl: decreased exercise tolerance, easy fatigability
fatigable
-Resistive exercise permitted • >10g/dl: resistive exercise permitted
Hematocrit levels: • <25% - no exercise
-no exercise • 25-32%: Light Exercise
-light exercise • >32%; resistive exercises are permitted
-resistive exercises are permitted
WBC: Reference Range for child >2years/adult: 5,000-10,000
-Reference range from 2yo-adult
-Critical values Possible critical values: <2,500 or >30,000
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