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Body Fluid Review. Fall 2012. Serous Fluids. Pleural, Pericardial, Ascites/Peritoneal Trans vs Exudate Table 13.2 Glucose similar to serum. Pleural Fluid. Trans Vs Exudate pH < 7.3 Tube Drainage pH < 6 Esophageal Rupture Amylase > serum Esophageal Rupture
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Body Fluid Review Fall 2012
Serous Fluids • Pleural, Pericardial, Ascites/Peritoneal • Trans vs Exudate Table 13.2 • Glucose similar to serum
Pleural Fluid • Trans Vs Exudate • pH < 7.3 Tube Drainage • pH < 6 Esophageal Rupture • Amylase > serum Esophageal Rupture • Chylous vs Pseudochylous Table13-4Chylous >Trig, Pos Sudan III, Lymphs, Thoracic Duct LeakagePseudochylous Cholesterol Crytals, mixed WBC Chronic Inflamation
Peritoneal/Ascitic • Trans vs Exudate • More difficult than other fluids • SAAG Serum-Ascites Albumin Gradient • Page 230 • Serum Albumin – Ascites Gradient • > 1.1 Transudate of hepatic origin • 1.1 Exudate
CSF • Glucose 2/3 Serum • Total Protein 15 – 45 mg/dL • Tube Order & Label • Color Traumatic Tap, Xanthochromia
Amniotic Fluid • Color and Appearance Page 238 • Fetal Lung Maturity Testing L/S PG. Foam Stability Testing, Lamellar Bodies pages240-241 • Specimen Considerations Temp, Centrifugation speed, Exposure to light, Filtration page 237 • HDN, Bilirubin, Liley Graph page 240 • Zone I, II, III
Synovial Fluid • Crystals • Viscosity • Hyaluronic acid causes fluid to be viscous • Test WBC, Dif, Gram stain, culture, and crystal ID