NA
135-145
K+
3.5-5.0
Crea
0.7-1.3
BUN
10-20
Glucose
60-100
WBC
5,000-10,000
Hgb
12-18
Hct
37-52
Plts
150,000-400,000
Lactic Acid
Above 2 = bad Above 4= really bad
Lactic acid comes from?
Build up of CO2, Anaerobic metabolism
Urine Production
30ml/hr minimum
GFR
90-120
CO2
35-45
O2
At least 95%
Minimum Map
65
HCO3
22-26
Ph
7.35-7.45
Specific Gravity
1.002-1.030, more that 1.030 means dehydration OR SHOCK
Normal Temperature
97°F (36.1°C) to 99°F (37.2°C). A temperature over 100.4°F (38°C) means infection!
SIRS Criteria
>100.4 F or < 96.8 HR: Above 90 RR: Above 20 CO2: UNDER 32 WBC: More than 12,000, less than 4,000
SIRS symptoms
Fever Normal BP to mild hypotension Lowered UO Increased RR Increased HR Increased WBC Mircothrombi forming Treat AGGRESSIVE, BE AGGRESSIVE, BE BE AGGRESSIVE
Sepsis Stage
2 or more SIRs criteria plus CONFIRMED OR SUSPECTED infection and 1 or more of the following: Hypotension HR & RR increasing more Change in mental status Hyperglycemia UO continuing to decrease Decreased capillary refill Cool extremities Lab Changes: Normal to slight increase in lactate level, elevated WBC, bands >10%, 02 less than 95% elevated glucose GFR: decreased Crea: increases BUN: increases
Sepsis Stage or
Hypo-dynamic