Nursing Nerds

Laboratory Values, Electrolytes and ABGs

Book 06 · Page 22 / 15

What This Book Owns, and What It Sends You Elsewhere For

Figure brief · not yet drawn

A legend board: a three by four grid of token chips, each a solid square over its soft fill with the label in mono beneath, the watch chip carrying a hooked arrow and the words SHIFTED IN BOOK 7, and three device miniatures at actual size below the grid, a critical flag breaking a panel edge, a three point trend arrow, and an unticked box.

Scope contract

OWNSBORROWSDOES NOT COVER
Every reference range and every critical value in the sixteen-book familyThe four-step ABG method, taught in Book 1 and drilled here, never re-taught → BOOK 01 · P36The disease that produced the abnormal value → BOOK 08 · P4 through Book 14
Complete blood count and the white cell differentialThe three master reference cards, used here as quick lookup → BOOK 01 · P31Any calculation, conversion, dilution, or titration → BOOK 06 · P3
Coagulation: PT, INR, aPTT, platelet thresholdsPrioritization lenses, used when two abnormal values compete → BOOK 03 · P12Drug class knowledge, adverse effects, and antidotes → BOOK 05 · P7
Basic and comprehensive metabolic panelsClinical judgment step names → BOOK 02 · P3Specimen collection technique and documentation → BOOK 15 · P4
Renal indices: BUN, creatinine, the ratio, eGFR, serum osmolality
Liver function tests, ammonia, albumin
Cardiac markers with their time curves
Glucose, A1C, thyroid studies, lipid panel
Therapeutic drug levels and urinalysis
All six major electrolytes: cause, sign, and nursing response in each direction
ABG interpretation, compensation status, and the anion gap
Trend reading across serial draws

Legend

  • ok normal, or the target you are driving toward
  • watch abnormal, monitor and trend. In this book only, the watch swatch is shifted off the topic color so it is never confused with the amber used for headings.
  • crit critical, stop and call
  • flag device a critical marker that breaks the panel edge, used only where delay causes harm
  • trend arrows a three-point set showing rising, flat, and falling
  • tick box an unticked square you fill in when you can do the thing unaided

Margin notethey test the call, not the cutoff.

Disclaimer: Reference ranges vary between institutions and between reference laboratories. Answer exam items from one canonical source and practice to local protocol. These books are exam preparation, not clinical decision support.

Takeawayif the question asks what the value means for the patient's disease, that answer is in another book. If it asks what the value is and what you do about it, it is here.