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need to know study tips cheat sheet
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● Take the time to memorize what each lab abbreviation means ...it will help you remember what the lab test is for later on when you see it on an exam question. ● Normal Lab value ranges can vary depending on where you look, but don’t let that worry you because abnormal lab values on NCLEX and other standardized exams will always be obviously abnormal to account for those minor variations. Unfortunately, I can’t guarantee that your Nursing Professor will follow that “best practice” guideline if she writes her own exam questions. But even if she doesn’t, in most cases you’ll still be able to figure it out. But if it becomes a problem, then make sure to use the specific lab value ranges listed in your textbook OR ask your professor what lab values she prefers to use. ● Lab values are one situation where I don’t much care about units. When you’re doing Dosage Calculations, you ALWAYS want to keep track of your units. But when it comes to lab values, it won’t make too much of a difference if you memorize them or not...the numbers themselves are what’s most important to remember. So if you have trouble keeping track of mEq versus mg versus dL and so on...just gloss over those units and focus on memorizing the numbers only. ● Memory tip...to make memorization easier when you have a different range for men/women, memorize the total range instead (i.e. hemoglobin=12.0-17.5, versus 12 -16 for women and 13.5- 17.5 for men). Just make sure to remember that the actual range for women is on the lower end of the total range, while the men’s is on the higher end...and that they overlap. You’ll be less likely to get confused or forget this if you also link it to a detail that you already know well, such as the fact that women, on average, are smaller than men! This trick requires less total memorization, but you will still have all the information you need to make very good clinical judgments on exam questions. ● You can group together “number patterns”, even if they are completely unrelated as lab tests. For some people (including me!) this makes it easier to memorize, because if I can remember ONE range, then I can more or less remember them all (or at least a close enough estimate to be able to correctly answer an exam question!). For example, I like to group together these lab tests that all have variations of 3 and 5: ○ Potassium: 3 .0- 5. ○ Albumin: 3 .0- 5. ○ pH: 7. 35 -7. 45 ○ PaCO2: 35 - 45
Hemoglobin: Women: 12.0-16.0 g/dL Men: 13.5-17.5 g/dL (or “summarize” the memorization: 12.0-17.5 g/dL)
Hematocrit: Women: 36%-46% Men: 41%-53% (or “summarize” the memorization: 36-53%)
RBC (Red Blood Cell): Women: 3.8-5.1 x10^6 /μL Men: 4.3-5.7 x10^6 /μL (or “summarize” the memorization: 3.8-5.7 x10^6 /μL)
WBC (White Blood Cell): 5,000-10,000/μL
Platelet: 150,000-400,000/μL
Electrolytes: Sodium: 135-145 mEq/L Potassium: 3.5-5.0 mEq/L Calcium (total): 9-11 mg/dL Magnesium: 1.5-2.0 mEq/L Phosphate (PO 4 3-): 3.0-4.5 mg/dL Chloride: 95-105 mEq/L
ABGs (Arterial Blood Gases): O2 saturation: 95%-100% pH: 7.35-7. PaCO2: 35-45 mHg HCO3: 22-26 mEq/L
Urinalysis: Urine Specific Gravity: 1.005-1.030 (<1.005 is too dilute; >1.030 is too concentrated)
Labs for Liver Function: Bilirubin: 0.1-1.0 mg/dL (The following 3 are all liver enzymes, you can tell from the “-ase” ending) ALP (Alkaline Phosphatase): 40-120 u/L ALT (Alanine Aminotransferase): 7-56 u/L AST (Aspartate Aminotransferase): 10-40 u/L
PaO2 (partial pressure O2): 80-100mmHg (They’ll always give you this info with ABG analysis...but you’ll rarely ever actually use it in nursing school)
Lipid Panel (if you’re an adult who’s ever had a cholesterol test, it shouldn’t be too hard to remember this!) HDL: >40 mmol/L LDL: <110 mmol/L Triglycerides: <90 mmol/L Total Cholesterol <170 mmol/L
Cardiac Enzymes: Troponin: 0 and 0.04 ng/mL
(aka Knowing these might get you 1-2 random points throughout your entire nursing school journey...if you ever get tested on them at all! So don’t waste too much time trying to memorize them, unless it’s for the specific purpose noted.)
Acetaminophen: 10-25 μg/mL (good to know when assessing a possible suicide attempt, high levels are BIG concern for liver function!) Digoxin: 0.8-2 ng/mL (may need to memorize for Cardiac Med-Surg or Pharm test) Lidocaine: 1.5-5 μg/mL Lithium: 0.6-1 mEq/L (generally speaking, you’ll see higher doses for acute mania, and lower doses for elderly...but that is advanced practice stuff! May need to memorize for Psych class though.) Phenobarbital: 10-40 μg/mL Phenytoin: 10-20 μg/mL Theophyline: 5-15 μg/mL Vancomycin: 10-20 mg/L