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Questions and Answers
According to the Academy of Acute Care Physical Therapy Laboratory Values Resource Guide 2017, therapists should:
According to the Academy of Acute Care Physical Therapy Laboratory Values Resource Guide 2017, African Americans commonly have _____ hemoglobin values when compared to Caucasian populations.
lower
According to the Academy of Acute Care Physical Therapy Laboratory Values Resource Guide 2017, a transgender woman, who is on estrogen replacement therapy, should have her lab values compared to normal values of females.
True
A patient with both increased Thyroid Stimulating Hormone (TSH) and decreased Thyroxine (T4) would MOST likely have:
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According to the Academy of Acute Care Physical Therapy Laboratory Values Resource Guide 2017, what is the normal range for Blood Urea Nitrogen (BUN) to determine the patient's tolerance for activity?
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An ultramarathon runner presents to the emergency department with dehydration after a long run. Which of the following lab values would most likely be elevated?
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A patient with a recent history of a myocardial infarction (MI) was admitted to the hospital within the past 24 hours. Which lab value is most concerning?
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A patient was admitted with failure to thrive. Calcium (Ca) levels upon admission were 7.3 mg/dL and are trending down. What signs/symptoms would NOT be expected?
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A patient with undiagnosed hypoglycemia may demonstrate which of the following symptoms during a physical therapy intervention?
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Your patient has nausea, vomiting, abdominal pain, excessive thirst, and severe fatigue. You suspect an abnormal glucose level. What is the most likely blood glucose level for this patient presentation?
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A patient has a non-healing lower extremity wound. Which of the following lab values is most important to consider as a cause in delayed healing?
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Study Notes
Laboratory Values in Acute Care
- Therapists should monitor laboratory trends over time rather than relying only on the most recent results.
- African Americans generally have lower hemoglobin values compared to Caucasians.
- Transgender women on estrogen therapy should have lab values compared to normal female values.
Thyroid and Cardiac Health
- A combination of increased Thyroid Stimulating Hormone (TSH) and decreased Thyroxine (T4) indicates thyroid disease.
- Normal range for Blood Urea Nitrogen (BUN) in patients with congestive heart failure is 6-25 mg/dl.
Dehydration and Electrolyte Imbalance
- An ultramarathon runner experiencing dehydration will show elevated values across hemoglobin, RBC, WBC, and platelet counts.
- The most concerning lab value in a myocardial infarction patient is potassium, particularly if it is as low as 2.2 mEq/L.
Signs and Symptoms Related to Lab Values
- In a patient with failure to thrive and low calcium levels, nausea and vomiting would not be expected symptoms.
- Hypoglycemia may present with shaking and extremity weakness during physical therapy.
Glucose Levels and Healing Concerns
- A patient exhibiting nausea, vomiting, abdominal pain, thirst, and fatigue likely has a blood glucose level around 300 mg/dL.
- Hemoglobin A1c is a critical lab value indicating potential causes of delayed healing in non-healing lower extremity wounds.
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Description
Test your knowledge on the essential laboratory values and their implications in acute care. This quiz is based on the guidelines from the Academy of Acute Care Physical Therapy Laboratory Values Resource Guide 2017. Review critical information to enhance your clinical decision-making skills.
