[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-573334-105":53,"doc-detail-573334-en":120},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":113,"head_meta":115,"extra_data":117,"updated_unix":119},105,"en","quick-guide-to-laboratory-values-june-2025","Quick Guide to Laboratory Values - June 2025","","Quick Guide to Laboratory Values (June 2025) is a clinical cheat-sheet that helps monitor key laboratory abnormalities affecting fluid and electrolyte balance, acid-base status, and hematology-related concerns. It summarizes serum electrolyte reference ranges and highlights associated signs and symptoms for hypo- and hyper- conditions, along with core nursing considerations such as monitoring for cardiac arrhythmias, respiratory depression, neurologic changes, and appropriate treatment approaches and precautions.",{"@graph":63,"@context":112},[64,80,95],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/quick-guide-to-laboratory-values-june-2025/573334/",4,{"url":78,"name":59,"@type":81,"author":82,"headline":59,"publisher":85,"fileFormat":88,"inLanguage":57,"description":61,"dateModified":89,"datePublished":89,"encodingFormat":88,"isAccessibleForFree":90,"interactionStatistic":91},"DigitalDocument",{"name":83,"@type":84},"dbqoiu","Person",{"url":68,"name":86,"@type":87},"DocShare","Organization","application/pdf","2026-10-14",true,{"@type":92,"interactionType":93,"userInteractionCount":4},"InteractionCounter",{"@type":94},"ViewAction",{"@type":96,"mainEntity":97},"FAQPage",[98,104,108],{"name":99,"@type":100,"acceptedAnswer":101},"Why can normal laboratory value ranges differ between laboratories?","Question",{"text":102,"@type":103},"Normal value ranges may vary depending on the techniques used in different laboratories.","Answer",{"name":105,"@type":100,"acceptedAnswer":106},"What nursing actions are emphasized when treating hypocalcemia or related symptoms?",{"text":107,"@type":103},"Implement seizure precautions and closely monitor for cardiac arrhythmias and respiratory depression; initiate intravenous calcium repletion.",{"name":109,"@type":100,"acceptedAnswer":110},"Which complications require close monitoring during electrolyte abnormalities such as hypercalcemia or hyperkalemia?",{"text":111,"@type":103},"Cardiac rate and rhythm should be monitored for arrhythmias and conduction abnormalities, and clinicians should watch for serious neurologic or cardiopulmonary effects depending on the specific electrolyte disturbance.","https://schema.org",{"og:url":78,"og:type":114,"og:title":59,"og:site_name":86,"og:description":61},"article",{"robots":116,"canonical":78},"index,follow",{"doc_id":118,"site_id":56},573334,1791937428,{"code":4,"msg":5,"data":121},{"doc_id":118,"user_id":122,"nickname":83,"user_avatar":123,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":124,"file_id":125,"file_url":126,"file_type":127,"file_size":128,"view_count":4,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":129,"language":130,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":131,"faqs":132,"seo_title":133,"seo_description":61,"update_tm":119,"read_time":76},3985747862462,"https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","June 2025 [www. nursingcenter.com](www. nursingcenter.com)  \nQuick Guide to Laboratory Values  \nUse this convenient cheat-sheet to help you monitor laboratory values related to fluid and electrolyte status, acid-base balance, and hematology. Remember, normal value ranges may vary according to techniques used in different laboratories.  \n\n| SERUM ELECTROLYTES |  |\n| --- | --- |\n| Electrolyte\u003Cbr>(Range) | Nursing Considerations |\n| Calcium (Ca2+)\u003Cbr>8.5-10.5 mg/dL | Hypocalcemia\u003Cbr>• Signs and symptoms\u003Cbr>o Tetany (neuromuscular irritability) is the hallmark symptom (may include paresthesia, bronchospasm, laryngospasm, carpopedal spasm [Trousseau’s sign], Chvostek’s sign [facial muscle contractions elicited by tapping facial nerve on ipsilateral side], tingling sensations of the fingers, mouth, and feet, increased deep tendon reflexes [DTRs], generalized seizures) .\u003Cbr>o Psychiatric manifestations such as emotional instability, depression, anxiety, hallucinations and psychosis.\u003Cbr>o ECG changes may include prolonged QT interval and arrhythmias.\u003Cbr>o Papilledema with or without intracranial hypertension.\u003Cbr>o Anxiety, depression, fatigue.\u003Cbr>o Can also be asymptomatic.\u003Cbr>• Implement seizure precautions and close monitoring for cardiac arrhythmias and respiratory depression.\u003Cbr>• Treatment: initiate intravenous calcium repletion\u003Cbr>Hypercalcemia\u003Cbr>• Signs and symptoms\u003Cbr>o Lethargy, confusion, nausea, vomiting, anorexia, constipation, muscle weakness, depressed DTRs, polyuria, polydipsia, dehydration\u003Cbr>• Severe hypercalcemia can provoke supraventricular or ventricular arrhythmias. Monitor cardiac rate and rhythm.\u003Cbr>• Increase mobilization, provide adequate hydration either with IV fluids or encouragement of oral intake.\u003Cbr>• Watch for digitalis toxicity. |\n\nJune 2025 [www. nursingcenter.com](www. nursingcenter.com)  \n\n| Chloride (Cl- )\u003Cbr>97-107 mEq/L | Hypochloremia\u003Cbr>• Signs and symptoms\u003Cbr>o Muscle spasms, alkalosis, and depressed respirations\u003Cbr>• May be precipitated or exacerbated by GI losses (vomiting, diarrhea) .\u003Cbr>Hyperchloremia\u003Cbr>• Monitor for metabolic acidosis.\u003Cbr>• Associated with large volume 0.9% normal saline resuscitation. |\n| --- | --- |\n| Magnesium (Mg2+)\u003Cbr>1.8-3 mg/dL | Hypomagnesemia\u003Cbr>• Signs and symptoms\u003Cbr>o Cardiac/ventricular arrhythmias (ventricular arrythmias (torsades de pointes) and atrial fibrillation), tetany, tremor, weakness, apathy, delirium, seizures, and coma\u003Cbr>• Risk factors: chronic diarrhea, PPI use, alcoholism, diuretic use\u003Cbr>• Monitor cardiac rate and rhythm.\u003Cbr>• Monitor for digitalis toxicity.\u003Cbr>• Often associated with hypokalemia. Treat both simultaneously.\u003Cbr>Hypermagnesemia\u003Cbr>• Signs and symptoms\u003Cbr>o Early symptoms: nausea, vomiting, flushing\u003Cbr>o Cardiac manifestations: hypotension, bradycardia, complete heart block, cardiac arrest\u003Cbr>o Neurologic manifestations: lethargy/somnolence, decreased DTRs, muscle paralysis, coma, respiratory muscle weakness (shallow respirations, apnea)\u003Cbr>• Avoid magnesium-containing medications in patients with compromised renal function.\u003Cbr>• Monitor cardiac rate and rhythm.\u003Cbr>• Monitor neurologic status, including DTRs. |\n| Phosphate (PO4- )\u003Cbr>2.5-4.5 mg/dL | Hypophosphatemia\u003Cbr>• Signs and symptoms (rare unless PO4-less than 1mg/dL)\u003Cbr>o Muscle weakness, rhabdomyolysis\u003Cbr>• Treatment indicated when PO4- less than 2mg/dL.\u003Cbr>• Oral replacement preferred.\u003Cbr>• IV indicated if PO4- less than 1mg/dL; administer slowly.\u003Cbr>• When administering IV phosphate products, measure serum |\n\nJune 2025 [www. nursingcenter.com](www. nursingcenter.com)  \n\n|  | phosphate levels every 6-8 hours.\u003Cbr>• Monitor for hypocalcemia, renal failure, arrhythmias, and diarrhea (with oral replacement) .\u003Cbr>• Acute or chronic hypophosphatemia can cause rhabdomyolysis.\u003Cbr>Hyperphosphatemia\u003Cbr>• Signs and symptoms\u003Cbr>o Typically, asymptomatic\u003Cbr>o Clinical features are due to accompanying hypocalcemia (see above)\u003Cbr>o Severe hyperphosphatemia can be life threatening.\u003Cbr","cbCainal2ROQQAeM","https://ap.wps.com/l/cbCainal2ROQQAeM","pdf",222879,8,"English","# Quick Guide to Laboratory Values\n## Serum Electrolytes","[{\"question\":\"Why can normal laboratory value ranges differ between laboratories?\",\"answer\":\"Normal value ranges may vary depending on the techniques used in different laboratories.\"},{\"question\":\"What nursing actions are emphasized when treating hypocalcemia or related symptoms?\",\"answer\":\"Implement seizure precautions and closely monitor for cardiac arrhythmias and respiratory depression; initiate intravenous calcium repletion.\"},{\"question\":\"Which complications require close monitoring during electrolyte abnormalities such as hypercalcemia or hyperkalemia?\",\"answer\":\"Cardiac rate and rhythm should be monitored for arrhythmias and conduction abnormalities, and clinicians should watch for serious neurologic or cardiopulmonary effects depending on the specific electrolyte disturbance.\"}]","Quick Guide to Laboratory Values - June 2025 | PDF"]