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Published byJulianna Watts Modified over 9 years ago
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陳京瑜
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In the assessment of many different diseases Red blood cell production and destruction Diagnose infection, allergies, and problems with blood clotting
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The hemoglobin molecule fills up the red blood cells. It carries oxygen and gives the blood cell its red color. Measure the amount of hemoglobin in blood Measure of the blood's ability to carry oxygen throughout the body. Normal value Hemoglobin (varies with altitude): Male: 13.5 to 18.0 gm/dL Female: 12.0 to 16.0 gm/dL
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To find an infection or to see how the body is dealing with cancer treatment. Normal Value : WBC : 4,500 to 11,000 cells/mcL Granulocyte : 1,800 to 7,700 cells/mcL Lymphocyte : 1,000 to 4,800 cells/mcL Monocyte : 0 to 800 cells/mcL
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24 hrs before Normal value (male)Result Hgb (gm/dL) 15.3 13.5 to 18.0Normal WBC (cells/mcL) 6,3004,500 to 11,000 Normal
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6 hrs laterNormal value (male) Result Hgb (gm/dL)20.913.5 to 18.0High WBC (cells/mcL) 30,800 4,500 to 11,000 High Granulocyte (cells/mcL) 29,100 1,800 to 7,700 High Lymphocyte(ce lls/mcL) 1,300 1,000 to 4,800 Normal Monocyte(cells /mcL) 2500 to 800Normal
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Above-normal hemoglobin levels may be the result of: dehydration excess production of red blood cells in the bone marrow severe lung disease several other conditions.
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High numbers of WBCs is called leukocytosis Infectious diseases Inflammatory disease (such as RA or allergy) Leukemia Severe emotional or physical stress Tissue damage (such as burns) The use of corticosteroids, underactive adrenal glands, thyroid gland problems, certain medicines, or removal of the spleen
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High number of Granulocyte May indicate bacterial infection. Acute viral infections Malignancy, most notably leukemia (it is the main feature of chronic myelogenous leukemia, CML) Autoimmune disease
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In determining if a patient has liver disease or kidney disease, or if not enough protein is being absorbed by the body. The normal range is 3.4 - 5.4 g/dL.
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24 hrs before : 4.5 gm/dL →Normal 6 hrs after : 2.6 gm/dL →Low
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Lower levels of albumin may indicate: Ascites Burns (extensive) Glomerulonephritis Liver disease (for example, hepatitis, cirrhosis, or hepatocellular necrosis) Malabsorption syndromes (for example, Crohn's disease, sprue, or Whipple's disease) Malnutrition Nephrotic syndrome
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Evaluate respiratory diseases and conditions that affect the lungs. Determine the effectiveness of oxygen therapy. Normal Results PO2 : 80 to 105 mmHg PCO2 : 38 - 44 mmHg pH : 7.35 - 7.45 Oxygen saturation (SaO2) : 94 to 100%
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2 hrs after transfusion 6 hrs after transfusion NormalResult pO2 3180 to 105Low pCO2 9638 to 44High pH7.3907.35 to 7.45Normal Oxygen saturation <80%94 to 100%Low
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Decreased PO2 levels are associated with: Decreased oxygen levels in the inhaled air Anemia Heart decompensation Chronic obstructive pulmonary disease Restrictive pulmonary disease Hypoventilation Increased pCO2 is caused by: Pulmonary edema Obstructive lung disease
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Oxygen Saturation will fall if: Inspired oxygen levels are diminished, such as at increased altitudes. Upper or middle airway obstruction exists (such as during an acute asthmatic attack) Significant alveolar lung disease exists, interfering with the free flow of oxygen across the alveolar membrane.
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National Libarary of Medicine http://www.nlm.nih.gov/nlmhome.html http://www.nlm.nih.gov/nlmhome.html Lab Tests Online http://www.labtestsonline.org/ http://www.labtestsonline.org/ Webmed http://www.webmd.comhttp://www.webmd.com The Medical Education Division of the Brookside Associates http://www.brooksidepress.org
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