BMP - ANS(Chem 7)
Sodium
Potassium
Chloride
Total CO2
BUN
Creatinine
Glucose
(Sometimes Ca)
Electrolytes - ANSSodium
Potassium
Chloride
Total CO2
Kidney Tests - ANSBUN
Creatinine
CMP - ANS(Chem 14)
ALL TESTS IN BMP
Albumin
Total Protein
ALP (Alk Phos)
Aspartate amino (AST/SGOT)
Alanine amino (ALT/SGPT)
Total Bilirubin
Calcium
Liver Tests - ANSAlk Phos
AST/SGOT
ALT/SGPT
Total Bili
What information can you get from a chemistry panel? - ANSPatients volume status
Acid-base status
Glucose
Renal function
Liver function
Sodium (Na+) - ANSDetects changes in water balance
, Water and sodium are inversely related (the more water in the body, the less sodium)
Blood Level Measurement of Na+ is used to determine: - ANSElectrolyte balance
Acid-base balance
Water balance
Low Sodium - ANSHyponatremia
Hyponatremia medical conditions - ANSCongestive heart failure
Liver failure/ cirrhosis
Renal failure (can't pee)
Hyperglycemia (water is going out of the cell)
Clinicians giving too much IV fluids
Hypervolemia - ANS"fluid overload"
commonly seen in elderly patents or hospitalized patients
Low sodium in a healthy patient... - ANSwon't happen unless clinician is giving too many IV
fluids bc normal renal function will excrete water
Symptoms of Hyponatremia are determined by... - ANSSeverity of sodium loss
Speed of sodium loss
Slow loss of sodium symptoms - ANSpossibly no symptoms
Fast loss of sodium symptoms - ANSCNS dysfunction due to cerebral edema
Headache, N/V, weakness. lethargy, seizure, coma
Most common etiologies of Hypernatremia - ANS6 D's
Diuretics
Dehydration
Diarrhea
Diseases
Doctors/HCP
Diabetes Insipidus (rare)
Diabetes Insipidus - ANSRare- causes the body to make too much urine or causes the body to
not respond to the ADH & unquenchable thirst
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