Tuesday, March 22, 2016

Week 12 Blog #1

Blog #1:
Week 12 March 21-27
Monday, March 21 2016
4p-8p 4 Hours Interned
Tuesday, March 22, 2016
5p-9p 4 Hours Interned

Objective #2:
2. Will verbally demonstrate knowledge of tests included in a CMP and CBC/diff including abnormalities, what disease process they might indicate and possible signs and symptoms that a patient might demonstrate given these values.

White Blood Cells Normal Range: 4,500-11,000 White Blood Cells per microliter (mcL)
As stated white blood cells are broken up into a variety of groups and become elevated when a pathogen has invaded the body. There is always a normal range of white blood cell and not common to be low unless a particular disease is present. Typically, WBCs are measured to see an increase in a particular type to indicate what kind of pathogen has invaded the body but can also be high due to particular diseases.
High Levels of WBCs Signify- AKA Leukocytosis. Due to infection or disease.
Low Levels of WBCs Signify- AKA Leukopenia. Due to disease.

White Blood Cell Differential (Diff)
No normal range because this test is just done as part of the CBC and determines the different types of WBCs in the blood. White blood cell differential consists of the 5 white blood cells listed below:

Absolute Neutrophil Count (Neu, PMN, polys) Normal Range: 1800-7800 mcL
Low Neutrophil levels signify- AKA neutropenia. Low levels of neutrophils due to overwhelming infection known as sepsis, dietary deficiencies, reaction to chemotherapy, autoimmune disorders, immunodeficiency, and bone marrow damage.
High Neutrophil levels signify- Aka neutrophillia. High levels of neutrophils due to minor bacterial infections, inflammation, stress from rigorous exercise, and trauma, heart attack, or burns.

Absolute Lymphocyte Count (Lymph) Normal Range: 1000-4800 mcL
Low Lymphocyte levels signify- Aka lymphocytopenia. Low levels of lymphocytes due to autoimmune disorders, infections such as HIV, viral hepatitis, typhoid fever, and influenza, corticosteroids, and bone marrow damage.
High lymphocyte levels signify- AKA lymphocytoss. High levels of lymphocytes due to acute viral infections, certain bacterial infections, toxoplasmosis, chronic inflammatory disorders, lymphoma, and acute stress.

Absolute Monocyte Count (Mono) Normal Range: 0-800- mcL
Low monocyte levels signify- A low monocyte count is usually insignificant but can be due to bone marrow damage or failure, hairy cell leukemia, and aplastic anemia.
High monocyte levels signify- High levels of monocytes are due to chronic infections, infections of the heart, collagen vascular disease, and monocytic or myelomonocytic leukemia.

Absolute Eosinophil Count (Eos) Normal Range: 0-450 mcL
Low eosinophil levels signify- A low eosinophil count is a good thing and not significant. Don’t want a high eosinophil level because it usually indicates a parasitic infection or an allergic reaction.
High Eosinophil levels signify- A high eosinophil count is due to asthma, allergies, drug reaction, parasitic infection, inflammatory disorder, some cancers such as leukemias or lymphomas, and Addison disease.

Absolute Basophil Count (Baso) Normal Range: 0-200 mcL
Low Basophil levels signify- A low basophil count is similar to a low eosinophil count. A low count is a good thing and not significant. Don’t want high levels of basophils because they usually indicate a severe allergic reaction.

High Basophil levels signify- A high basophil count is due to rare and severe allergic reactions such as hives, food allergies, etc., chronic inflammation, some leukemias, and uremia.

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