Help with chem panels please..

[PharmacistReb]

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Ok, so I'm needing some help with a chemistry panel.

I'm sure most of you are familiar with the Chem 8 and the little diagram with eight individual spaces... I've got a patient and I'm supposed to fill in what appears to be a Chem 4. It's the same little diagram but with only 4 spaces. The Chem 8 is first and then the Chem 4 is next to it.

I'm sure I'm coming across as totally ignorant to some of you. But I could really use some help and would be awesome if I could get a reference for where to find this particular diagram.

Thanks in advance

 

[owlegrad]

Ok, so I'm needing some help with a chemistry panel.

I'm sure most of you are familiar with the Chem 8 and the little diagram with eight individual spaces... I've got a patient and I'm supposed to fill in what appears to be a Chem 4. It's the same little diagram but with only 4 spaces. The Chem 8 is first and then the Chem 4 is next to it.

I'm sure I'm coming across as totally ignorant to some of you. But I could really use some help and would be awesome if I could get a reference for where to find this particular diagram.

Thanks in advance

Is it ok if I pick on you just a little bit?

Your professor shouldn't have given you an assignment without explaining this, but I guess that is neither here nor there. It's called a complete blood count. Here is a link: http://www.citizendia.org/Complete_blood_count

 

[Sparda29]

The Chem 4, I believe is:

White blood cell count on the left space
Hemoglobin count on the top
hematocrit count on the bottom
Platelet count on the right

 

[PharmacistReb]

I know what a CBC is. My problem was charting the Chem 4. I think the latter responder answered my question.

Thanks guys.

 

[Praziquantel86]

Wait until you get the CMP and coag panels...then you're in business.

 

[owlegrad]

I know what a CBC is. My problem was charting the Chem 4. I think the latter responder answered my question.

Thanks guys.

I respectfully disagree. Your first post made it pretty obvious that you did not realize that the four cell chart was a CBC. What sparda described IS a CBC. My link had a nice picture of how to graph it, as well as detailed information on what each panel contained. Did you even look at it? I have never heard of it being referred to as Chem 4, only CBC. Whatever floats your boat I guess, but my post contained quiet a bit more helpful information (not that it's a contest).

EDIT: Come to think of it, I have never heard of a Basic Metabolic Panel being referred to as Chem 8. Only BMP.

 

[PharmacistReb]

Owlegrad,

Thanks for the help. That's my mistake, I was rushed and didn't even look at the link and the chart. That was a huge help. I appreciate it very very much.

You guys make life a little bit easier! Glad to have knowledgeable folk at my finger tips.

 

[PharmacistReb]

I've got a lazy streak in me...

This is a Peds rotation and some of the terminology and information is new and not so new and I'm needing to be refreshed. I've got a patient that presents with acute bronchospam and is given albuterol .5mL x iii BTB in the ED... At least this is what the physician has recorded in the chart... What exactly does this mean?

 

[owlegrad]

Owlegrad,

Thanks for the help. That's my mistake, I was rushed and didn't even look at the link and the chart. That was a huge help. I appreciate it very very much.

You guys make life a little bit easier! Glad to have knowledgeable folk at my finger tips.

No problem. 😉 Although I don't know how I feel about being at your finger tips...

 

[njac]

EDIT: Come to think of it, I have never heard of a Basic Metabolic Panel being referred to as Chem 8. Only BMP.

I've always heard it as a chem 7

 

[njac]

I've got a lazy streak in me...

This is a Peds rotation and some of the terminology and information is new and not so new and I'm needing to be refreshed. I've got a patient that presents with acute bronchospam and is given albuterol .5mL x iii BTB in the ED... At least this is what the physician has recorded in the chart... What exactly does this mean?

probably something along the lines of "blowby" or "by the bedside"

depends on how little the kid is.

 

[Sparda29]

I've always heard it as a chem 7

Never heard of Chem 7, Chem 8. Only as BMP. Too bad that I only figured it out once rotations started. Could have gotten me from a B to an A in the Pharmacy practice final.

 

[KARM12]

I've got a lazy streak in me...

This is a Peds rotation and some of the terminology and information is new and not so new and I'm needing to be refreshed. I've got a patient that presents with acute bronchospam and is given albuterol .5mL x iii BTB in the ED... At least this is what the physician has recorded in the chart... What exactly does this mean?

BTB=back to back...at least as far as Alb nebs in peds.

 

[KARM12]

I've always heard it as a chem 7

Agreed. What is the 8?

Na, K, CL, CO2, BUN, SCr, Glucose for chem 7.

 

[crazybob]

Agreed. What is the 8?

Na, K, CL, CO2, BUN, SCr, Glucose for chem 7.

http://www.labtestsonline.org/understanding/analytes/bmp/glance.html

They include calcium.

http://www.labtestsonline.org/understanding/analytes/calcium/glance.html

http://en.wikipedia.org/wiki/Basic_metabolic_panel

Calcium (Ca2+) is often considered part of the BMP, though, by definition, it is not part of the CHEM-7.

 

[diastole]

http://www.labtestsonline.org/understanding/analytes/bmp/glance.html

They include calcium.

http://www.labtestsonline.org/understanding/analytes/calcium/glance.html

http://en.wikipedia.org/wiki/Basic_metabolic_panel

We use Chem 7s too. So how do you draw it out if it includes calcium? Where does calcium go?

 

[charfdorn]

We use Chem 7s too. So how do you draw it out if it includes calcium? Where does calcium go?

To the right of glucose, often with "Ca" next to it to avoid confusion.

 

[Praziquantel86]

We use Chem 7s too. So how do you draw it out if it includes calcium? Where does calcium go?

I've always seen it as that little triad, with calcium on the left, magnesium on the right and phosphorus on the bottom.