ALP - CORRECT ANSWER: 44-147

ANCC PMHNP LAB VALUES Latest Update - Actual Exam 150 Questions and 100% Verified Correct Answers Guaranteed A+

ALP - CORRECT ANSWER: 44-147

BUN - CORRECT ANSWER: 10-20 mg/dL

BUN - CORRECT ANSWER: 10-20, increased in impaired kidney function, significant

dehydration, measure with lithium

Calcium, Ca++ - CORRECT ANSWER: 8.8-10.5

<7.0, tetany >11.0, hyperparathyroidism >13.5, hypercalcemic coma, metastatic cancer

Chloride, Cl - CORRECT ANSWER: 98 - 106

passive transport through sodium major anion in the extracellular fluid

CK, creatine kinase - CORRECT ANSWER: <240, indicates muscle injury of heart, brain, skeletal muscle, elevated in MI, myositis, rhabdomysitis

Creatinine - CORRECT ANSWER: 0.4-0.8, may vary with age gender, ethnicity, more

sensitive then bun,

CREATININE - CORRECT ANSWER: 0.5-1.2 normal, kidney damage if elevated ,

athletes may be higher

DECREASES LITHIUM LEVELS - CORRECT ANSWER: potassium-sparing diuretics,

thiazide diuretics, theophyline decreases lithium

Examples of Ace Inhibitors - CORRECT ANSWER: ALL INCREASE LITHIUM

Enalapril (Vasotec/Renitec) Ramipril (Altace/Prilace/Ramace/Ramiwin/Triatec/Tritace) Quinapril (Accupril) Perindopril (Coversyl/Aceon/Perindo) Lisinopril (Listril/Lopril/Novatec/Prinivil/Zestril) Benazepril (Lotensin) Imidapril (Tanatril) Trandolapril

Examples of ARB's - CORRECT ANSWER: ALL INCREASE LITHIUM 1 / 2

Valsartan Telmisartan Losartan Irbesartan Irbesartan Azilsartan Olmesartan Olmesartan

examples of potassium-sparing diuretics - CORRECT ANSWER: Epithelial sodium

channel blockers Amiloride Triamterene

Aldosterone antagonists:

Spironolactone Eplerenone

GFR - CORRECT ANSWER: >90, best measurement of kidney function, no need to

adjust dose depakote if GFR > 60

hyperkalemia - CORRECT ANSWER: chronic marijuana use can elevate potassium

hypermagnesemia - CORRECT ANSWER: N/V, respiratory depression, hypotension,

depressed skeletal muscle contraction and nerve function, bradycardia

hypernatremia - CORRECT ANSWER: dehydration

hypovolemia diabetes insipidus eating too much salt gastroenteritis drugs such as adrenocorticosteroids, methyldopa, hydrazine, cough meds

hypomagnesemia - CORRECT ANSWER: depression, confusion, irritability,nystagmus,

tetany, convulsions, ataxia, increased reflexes, muscle weakness

hyponatremia - CORRECT ANSWER: drugs such as lithium, vasopressin, diuretics

addisons renal disorder gi fluid loss

lithium levels during acute tx - CORRECT ANSWER: 0.8 -1.2, during maintenance 0.6 - 1.0

LITHIUM THERAPY - CORRECT ANSWER: CREATININE/BUN, SERUM

ELECTROLYTES, CBC W/WBC & DIFF, URINALYSIS, EKG, ck levels (post dose 12 hrs trough), after 4 days on med, then q 4-5 days during initial therapy

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