UT Tyler BSN Approved Lab & Vitals Values Must Know Lab Values CBC Values Abbreviation Normal Range Critical Value White Blood Cells WBC 5-10 (thousand /mm3) <2.5 or > 30 (thousand/mm3) Red Blood Cells RBC Hemoglobin Hgb Hematocrit HCT Platelets Plt Male: 4.7-6.1; Female: 4.2-5.4 Male: 14-18 g/dL; Female: 12-16 g/dL Male: 42-52%; Female: 37-47% 150-400 (thousand/ mm3) BMP/CMP Values Abbreviation Normal Range Critical Value Glucose Sodium Potassium Calcium Magnesium Blood Urea Nitrogen Creatinine FBS Na K Ca Mg BUN Cr 70-110 mg/dL 136-145 mEq/L 3.5-5 mEq/L 9-10.5 mg/dL 1.3-2.1 mEq/L 10-20 mg/dL 0.5-1.2 mg/dL <40 or >400 <120 or >160 <2.5 or >6.5 <6 or >13 <0.5 or >3 >100 >4 Coagulation Values Abbreviation Normal Range Critical Value Prothrombin Time International Normalized Ratio PT INR 11-12.5 seconds 0.8-1.1 2-3 (therapeutic for warfarin) >20 seconds >5.5 Partial Thromboplastin Time, Activated Partial Thromboplastin Time aPTT 30-40 seconds >70 seconds PTT 60-70 seconds >100 seconds ABG Values Abbreviation Normal Range Critical Value Acid-Base Indicator pH 7.35-7.45 Oxygen PaO2 80-100 mm Hg Carbon Dioxide PaCO2 35-45 mm Hg Bicarbonate HCO3 22-26 mEq/L Oxygen Saturation SAO2 95%-100% *Maternal/Newborn and Child values are taught in the Special Population course. <5g/dL or >20g/dL <15% or >60% <50 (thousand/mm3) or >1 million/mm3 Must Know Vital Signs, Holistic Health Assessment Pain: Considered 5th vital sign. Use 0 – 10 numerical scale. 0=no pain, 10=worst pain ever High pain level can increase pulse, blood pressure and respirations Temperature: 35.8-37.3 C (96.4-99.1 F) Jarvis: Page 139 Lewis (359) Hypothermia <96.8 Mild elevation <100.4 Moderate elevation > 100.4, First 2 days post op After 48 hours post op > 100 Pulse: 50-90 at physical and mental rest Baseline 60-100. Document both rate, rhythm and force of the pulse, 0 to 3+ Respirations: Adult 10-20 Jarvis: Page 143; Report character of breathing, whether even or labored/unlabored Blood Pressure: Normotensive: SBP <120 and DBP <80 Prehypertension: SBP 120-139 OR DBP 80-89 Stage 1 Hypertension: SBP 140-159 OR DBP 90-99 Stage 2 Hypertension: SBP >160 or DBP > 100 Hypotension: < 95/60 or SBP< 90 or a decrease in SBP >40 Orthostatic Hypotension decrease of 20 mm or more in SBP, decrease of 10 mm or more in DBP, and/or increase in Heart rate of 20 or more beats per minute. Jarvis: Page 150 PaO2/O2 Sats (Pulse Oximeter, measures arterial oxygen saturation, Sp02) PaO2 % > 70 O2 sat % > 94 Significance Adequate unless hemodynamically unstable or HgB unable to release to tissues 60 90 Adequate in most patients but less margin for error 55 88 Adequate for chronic hypoxemia if NO cardiac problems. Criteria for continuous O2 40 75 Inadequate. Acceptable for very short time if also CO2 retention <40 <75 Inadequate. Expect tissue hypoxemia and cardiac dysrhythmias Healthy person without lung disease - 97-100% on room air. Jarvis: Page 153 BSN Faculty meeting approved: 3/19/2021 Approved: Karen Walker, Ph.D., RN., MBA, BSN Program Director: 3/19/2021