Guest guest Posted June 17, 2012 Report Share Posted June 17, 2012 That is if the NIH K testing is done right. Belive you said they did not do B/P right. If they aren't doing B/P right them maybe they don't do K right. Unless you did a typo then they have a lower norm for K then most labs do. > > Francis, you once asked about results of K+ tests at NIH: > > Apr 2 = 3.9 (NIH 3.3-5.1) > Apr 12 = 4.4 " " > > May 21 = 4.0 (WRJ 3.5-5.0) > Jun 4 = 4.2 " " > > Guess the lb t the VA isn't too far off! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 17, 2012 Report Share Posted June 17, 2012 The low is lower and the high is higher. There are a bunch of tests that were included with other draws that I know were done from an IV when they were doing different timed test. All I have seen were between 3.8 and 4.2. I know the ones that were done at 5:58 am every day were all drawn and carried to the lab. I suspect ones drawn by nurses went by vac tube. AM draw was often started with turniquet but he released it immeditely and from what I have read the test is good as long as that happens 10 seconds before the actual draw. My guess is they are both very close to accurate and there are enough doctors relying on the testing results at NIH that they make sure it is correct, I have 34 pages of results! > > > > Francis, you once asked about results of K+ tests at NIH: > > > > Apr 2 = 3.9 (NIH 3.3-5.1) > > Apr 12 = 4.4 " " > > > > May 21 = 4.0 (WRJ 3.5-5.0) > > Jun 4 = 4.2 " " > > > > Guess the lb t the VA isn't too far off! > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 17, 2012 Report Share Posted June 17, 2012 I have found the 10 second rule not to be true. I wonder how they even figured 10 seconds anyway, sounds very arbitrary to me. I gave the techs a chance at that one, and my K came up within normal, so I didn't take my K and in a day I could tell it was actually low. From: <jclark24p@...>Subject: Re: JC - Results from NIHhyperaldosteronism Date: Sunday, June 17, 2012, 9:47 PM The low is lower and the high is higher. There are a bunch of tests that were included with other draws that I know were done from an IV when they were doing different timed test. All I have seen were between 3.8 and 4.2.I know the ones that were done at 5:58 am every day were all drawn and carried to the lab. I suspect ones drawn by nurses went by vac tube. AM draw was often started with turniquet but he released it immeditely and from what I have read the test is good as long as that happens 10 seconds before the actual draw.My guess is they are both very close to accurate and there are enough doctors relying on the testing results at NIH that they make sure it is correct, I have 34 pages of results! > >> > Francis, you once asked about results of K+ tests at NIH:> > > > Apr 2 = 3.9 (NIH 3.3-5.1)> > Apr 12 = 4.4 " "> > > > May 21 = 4.0 (WRJ 3.5-5.0)> > Jun 4 = 4.2 " "> > > > Guess the lb t the VA isn't too far off!> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 18, 2012 Report Share Posted June 18, 2012 My question is if IV is in place why do they need the turniquet? > > > > > > Francis, you once asked about results of K+ tests at NIH: > > > > > > Apr 2 = 3.9 (NIH 3.3-5.1) > > > Apr 12 = 4.4 " " > > > > > > May 21 = 4.0 (WRJ 3.5-5.0) > > > Jun 4 = 4.2 " " > > > > > > Guess the lb t the VA isn't too far off! > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 18, 2012 Report Share Posted June 18, 2012 Because the phlebotomist does it his/her way and the nurses do it their way! Many times you have 2 or 3 ports and at 6 am they are not into researching which is used for what or if they have just been flushed, etc. They need to get the draws done so the reports will be ready for the doctors! > > > > > > > > Francis, you once asked about results of K+ tests at NIH: > > > > > > > > Apr 2 = 3.9 (NIH 3.3-5.1) > > > > Apr 12 = 4.4 " " > > > > > > > > May 21 = 4.0 (WRJ 3.5-5.0) > > > > Jun 4 = 4.2 " " > > > > > > > > Guess the lb t the VA isn't too far off! > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 19, 2012 Report Share Posted June 19, 2012 If k is very low it will show up on EKG. I have some of the EKGS that may have showed my K was low. It might show up as Nonspecific ST abnormality. Note the following states In the absence of a clinical history or symptoms. I always have symptoms like shortness of breath and brainfog. From up to date Nonspecific ST-T wave changes are very common and may be seen in any limb or precordial lead of the electrocardiogram. The changes may be seen in all or most of the leads (diffuse changes), or they may be present only in the inferior, lateral, or anterior leads. The types of abnormalities are varied and include subtle straightening of the ST segment, actual ST segment depression or elevation, flattening of the T wave, biphasic T waves or T wave inversion (figure 1). In the absence of a clinical history or symptoms, T wave abnormalities and flattened and depressed ST segment changes are nonspecific. Causes of these changes include: •Functional and physiologic variants (eg, post-prandial) •Electrolyte abnormalities •Post-cardiac surgical state •Anemia •Fever •Acidosis or alkalosis •Endogenous catecholamines •Drugs •Acute abdominal process •Endocrine abnormalities •Metabolic changes •pH changes •Cerebrovascular accidents •Diseases such as myocarditis, pericarditis, cardiomyopathy, pulmonary emboli, infections, amyloidosis, systemic diseases, lung diseases •Myocardial ischemia Nonspecific T waves and ST segment changes may also be seen in healthy individuals, including well trained athletes, leading to mistaken diagnosis of heart disease. However, well-trained athletes may have underlying organic heart disease. ST-T WAVE CHANGES ASSOCIATED WITH SPECIFIC DISEASE STATES Specific patterns of ST-T wave changes may be seen in association with various pathophysiologic states. > > > > > > > > > > Francis, you once asked about results of K+ tests at NIH: > > > > > > > > > > Apr 2 = 3.9 (NIH 3.3-5.1) > > > > > Apr 12 = 4.4 " " > > > > > > > > > > May 21 = 4.0 (WRJ 3.5-5.0) > > > > > Jun 4 = 4.2 " " > > > > > > > > > > Guess the lb t the VA isn't too far off! > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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