Dx lab test in gallbladder, pancreatic, & liver disorders

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Created by:

jprice82  on April 20, 2011

Classes:

GI, ST. Charles RN 2012

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Dx lab test in gallbladder, pancreatic, & liver disorders

Serum bilirubin
Elevated direct (conjuated) may indicate obstructed bile flow
Normal 0.1-1.0 mg/dl
1/11
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Serum bilirubin Elevated direct (conjuated) may indicate obstructed bile flow
Normal 0.1-1.0 mg/dl
CBC Increased WBC d/t infection
Normal 4500-10,000
Serum Amylase & lipase Increase with pancreatitis
Normal amylase 0-130
Normal lipase 0-160
Serum trypsinogen Elevated in acute pancreatitis
Decrease in Chronic pancreatitis
Normal <80 mcg/L
Alanine aminotransferase (ALT) Enzyme contained within liver cell-liver damaged-releases ALT in blood)
Excede 1000 U/L in hepatitis
Slightl elevated in cirrhosis
Aspartate aminotransferase (AST) In heart and liver vells
Increase in liver damage
Severe liver damage 20-100x normal levels
Alkaline Phosphate (ALP) In liver and bone
Increase in Hep
Gamma-glutamylytransferase (GGT) In cell membranes
Increase in Hep
Increase in obstructive biliary disease
Lactic dehydrogenase In body tissues
Nonspecific indicator
LDH5 is specific to liver damage
Serum Albumin Show hypoalbuminemia d/t impaired liver production
Serum Ammonia Elevated in liver failure d/t not effectively converting ammonia to urea for renal excretion

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