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2018 Normal Lab Values Overview

This document outlines various lab values and exercise guidelines related to health metrics such as albumin, blood glucose, urine analysis, metabolic syndrome risk factors, BMI classifications, and exercise recommendations based on platelet count, hemoglobin, hematocrit, and white blood cell count. It also details criteria for exercise termination based on absolute and relative indications, including blood pressure changes and signs of ischemia. Overall, it serves as a comprehensive reference for assessing health and determining safe exercise levels.

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8 views4 pages

2018 Normal Lab Values Overview

This document outlines various lab values and exercise guidelines related to health metrics such as albumin, blood glucose, urine analysis, metabolic syndrome risk factors, BMI classifications, and exercise recommendations based on platelet count, hemoglobin, hematocrit, and white blood cell count. It also details criteria for exercise termination based on absolute and relative indications, including blood pressure changes and signs of ischemia. Overall, it serves as a comprehensive reference for assessing health and determining safe exercise levels.

Uploaded by

boopu43
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Lab Values- Exercise Guidelines

Albumin :3.5-5.5 mg
PreAlbumin:15-35 mg
Blood glucose for good wound healing :70-110 ml
Semmes Weinstein monofilament:
Normal :4.6 g
Protective : 5.07 g
Abnormal: 6.67 g
CD4 helper cells:500-1200 cells/mm
AIDS <200 cells/mm
Normal creatinine clearance is 115-125 mL/min

Urine Analysis:
Color: yellow-amber
Clarity: clear
Specific gravity:1.010-1.025
PH:4.6-8.0; average is 6 acidic
Protein:0-8 mg/dL
Sugar:0
Potassium :3.5-5.5 mEq/L
Sodium: I35-146 mEq/L
Calcium: 8.4-10.4 mg/dL
Magnesium:1.8-2.4 mg/Del
Blood PH:7.35-7.45
Hco3:22-28
Pac02: 35-45

Metabolic syndrome:Risk factor


Men >40 inches
Women:>35 inches
High triglycerides:150 mg/Dl
Low HDL <40 mg/dL for men ; less than <50 mg/dL for women
High BP: >135/85 mmHg
Blood sugar: fasting >100 mg/dL
Fasting plasma glucose:>126 mg/dL(7 mmol/L)
HgA1C: Normal <5.7%
Pre-diabetes :5.7 to 6.4%
Diabetes :>6.5%
Low blood glucose <70 mg/dL
High blood glucose >300 mg/dL

BMI:
Overweight:25 to 29.9
Obesity : >30
Morbid obesity:> 40
Skin calipers: midbiceps, midtriceps, subscapular or inguinal areas >1 inch
Platelet Count
<20,000 → ADLs, AAROM-AROM, no resistive exercises, guard carefully
20,000-30,000 → Light exercises (No PROM; light AROM; walking as tolerated)
30,000-50,000 → AROM, submaximal isometrics, stationary bike, walking as tolerated, aquatic
therapy, NO prolonged stretches or resistive exercises.
50,000-150,000 → minimal to moderate resistve exercises allowed; sexual intercourse, bicycling
with no
grade (flat), swimming, no bench stepping.
>150,000 → normal actvity (unrestricted)

Hemoglobin
<8 g/dL → no exercise (red flag)
8-10 g/dL → light exercise; no aerobics
10-12 g/dL → low impact and low-intensity aerobics, stationary bike, isometrics and resistive
exercises permitted

Hematocrit
<25% → no exercise
>25% → light exercise; progression to resistive exercises when Hct reaches 30%
HCT (%)
(O2 carrying capacity within the body)
Adult Female: 36-46
Adult Male: 37-49
>25%: Light or regular exercise
<25% No exercise

White Blood Cell Count


<5,000/mm3 with fever → no exercise
>5,000/mm3 → exercise permited with progression to resistive exercise

Exercise Termination Criteria


Absolute Indications
SBP drops > 10mmHg from baseline despite increase in workload with other evidence of ischemia
Moderately severe angina (score of 3 on angina scale)
Increase NS systems (ataxia, dizziness)
Signs of poor perfusion (cyanosis, pallor)
Sustained V-Tach (6+ PVCs on strip or 3+PVCs in a row)
1.0mm ST elevation (infarction)
SBP>210/100

Relative Indications
Drop in SBP > 10mmHg from baseline despite increase in workload with no evidence of ischemia
>2mm ST depression (ischemia)
Arrhythmias other than sustained ventricular tachy
Multifocal PVCs
Supraventricular tachy
Heart block
Bradyarrhythmia
Fatigue, SOB, wheezing, leg cramps and claudication
Bundle branch block or intraventricular conduction delay
Increasing chest pain
Hypertensive response (SBP > 250mmHg and/or DBP > 115mmHg)
Other Concerns
PaO2 < 55mmHg (or >20mmHg fall)
PaCO2 > 65mmHg (or >10mmHg rise)
Atrial fibrillation

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