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Physical Assessment
Exam 1
46
Chemical Engineering
Graduate
01/31/2010
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Term
Platelets: NL
 Definition
140-440 x 109/L
Term
Hematocrit: NL
 Definition

M: 40-50%

F: 36-44%

 

Represents % of RBCs per volume of whole blood
Term
Hemoglobin: NL
 Definition

M: 14-17 mg/dL

F: 12-15 mg/dL
Term
Elevated neutrophils means:
 Definition
bacterial infection
Term
Elevated lymphocytes means:
 Definition
virus/fungal infection
Term
Elevated eosinophils means:
 Definition
allergies/parasites
Term
Decreased lymphocytes means:
 Definition
HIV
Term
WBCs: NL
 Definition
4-10 x 109/L
Term
Calculate LDL
 Definition

LDL = TC - (TG/5 + HDL)

 

If TG > 400 mg/dL, calculation is useless

 

Guestimate: LDL ~ 60% of TC
Term
What labs would you order if you suspect a MI?
 Definition
  1. CK
  2. LDH
  3. Cardiac troponins
Term
Aspartate Aminotransferase (AST): NL
 Definition

11-47 IU/L

 
Term
If AST is elevated w/o ALT:
 Definition
cardiac or muscle problem
Term
Alanine Aminotransferase: NL
 Definition
7-53 IU/L
Term
Range of Total Bilirubin
 Definition
0.3-1.1 mg/dL
Term
Unconjugated/Indirect/Before Liver Bilirubin: NL
 Definition
0.1-1.0 mg/dL
Term
Conjugated/Direct/After Liver Bilirubin: NL
 Definition
0.0-0.3 mg/dL
Term
Process of Bilirubin Excretion and Unconjugated/Conjugated Bilirubin Formation
 Definition
  1. RBC taken to spleen and destroyed
  2. Hgb released by broken cells
  3. Broken down to Bilirubin
  4. Bilirubin attaches to albumin and transported to liver
  5. Bilirubin is made water soluble with glucuronic acid
  6. Excreted by bile and kidneys
  7. If excreted biliary, delivered to small intestines and excreted as urobilinogen
Term
Albumin: NL
 Definition
3.5-5 g/dL
Term
Creatinine Clearance: NL
 Definition
100-180 ml/min
Term
Serum Creatinine: NL
 Definition
0.6-1.1 mg/dL
Term
BUN: NL
 Definition
8-25 mg/dL
Term
CO2: NL
 Definition
22-26 mEq/L
Term
Chloride: NL
 Definition
97-110 mEq/L
Term
Potassium: NL
 Definition
3.5-5 mEq/L
Term
Sodium: NL
 Definition
135-145 mEq/L
Term
Neer Test
 Definition
Rotator cuff impingement or tear
Term
Hawkins Test
 Definition
Rotator cuff impingement or tear
Term
Straight Leg Raise
 Definition
Spinal nerve root irritation
Term
Bragard Stretch Test
 Definition
Spinal nerve root irritation
Term
Femoral Stretch Test
 Definition
Spinal nerve root irritation
Term
Monofilament Test
 Definition
Neuropathic pain and allodynia
Term
Cotton Wisp Test
 Definition
Neuropathic pain and allodynia
Term
Document the 4 "A's" for Pain
 Definition
  • Activity
  • Analgesia
  • Adverse Effects
  • Aberrant drug taking behavior
Term
For pain, the "federal five" in a drug screen are:
 Definition
  1. Cannabis
  2. Opiates
  3. Cocaine metabolites
  4. Barbiturates
  5. Benzodiazepines
Term
Where can you feel a pulse?
 Definition

Temporal

Carotid

Brachial

Radial

Femoral

Popliteal

Ant. Tibialis

Dorsalis Pedal

 
Term
Normal BP for adult
 Definition
120/80
Term
Normal Adult RR
 Definition
14-20 RPM
Term
Appropriate Sizes and Position of Blood Pressure Cuff for an Adult
 Definition

Width: 1/3-1/2 circumference of arm (40% of upper arm circumference)

Bladder Length: 2X the width or 80% of the arm circumference

 

Cuff should be 2.5 cm above the antecubital crease
Term
Fahrenheit Formula
 Definition
9/5 x C + 32
Term
Celsius Formula
 Definition
5/9 (F - 32)
Term
BMI: Underweight
 Definition
< 18.5
Term
BMI: Normal weight
 Definition
18.5-24.9
Term
BMI: Overweight
 Definition
25-29.9
Term
BMI: Obesity
 Definition
> 30
Term
High Risk Waist Circumference: Men
 Definition
> 40" (102 cm)
Term
High Risk Waist Circumference: Women
 Definition
> 35" (88 cm)
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