C-Reactive Protein (CRP) Lab Values

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Abby Rose
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Outline

Objective:

Determine the significance and clinical use of C-Reactive Protein in clinical practice

 

Lab Test Name:

C-Reactive Protein – CRP

 

Description:

C-reactive protein (CRP) is made in the liver in response to inflammation

Measures CRP in the blood

  • Increases quickly
  • Decreases quickly

 

Indications:

Monitor or Identify:

  • Inflammation in the body
    • Appendicitis
    • Pelvic Inflammatory Disease (PID)
    • Crohn’s
    • Ulcerative Colitis
    • Rheumatoid Arthritis (RA)
    • Lupus (SLE – Systemic Lupus Erythematosus)

Evaluate:

  • Coronary Artery Disease (CAD)
    • Cholesterol level – atherosclerosis

 

Normal Therapeutic Values:

Normal – <1.0 mg/L

Collection:

  • Serum separator tube

 

What would cause increased levels?

Increased=Inflammation

  • Bacterial Infection
  • Crohn’s Disease
  • Inflammatory Bowel Disease
  • Lupus
  • Rheumatoid Arthritis (RA)
  • Pregnancy – estrogen
  • Myocardial Infarction (MI)

 

What would cause decreased levels?

Decreased=resolving inflammation

Medications that reduce inflammation:

  • NSAIDs
  • Statins
  • Steroids

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Transcript

Hey everyone, Abby here with nursing.com. In this lesson, we’ll talk about C-reactive protein. The normal values, as well as a time to take this lab and what would cause it to be increased or decreased. Let’s get started. 

 

C-reactive protein, abbreviated CRP is a protein that is made in the liver in response to inflammation. Doesn’t that look complex? Of course, this is computerized, but it’s a protein. It’s gonna have a lot to this molecule, right? This lab is used to measure CRP in the blood, and it’s really valuable, because CRP increases quickly and decreases quickly. So, we can tell a lot about inflammation from this lab value. Some times it would be clinically indicated to monitor or to evaluate and draw, is when inflammation is present in times like appendicitis, pelvic inflammatory disease, Crohn’s disease, and ulcerative colitis, as well as rheumatoid and lupus. It also helps to evaluate the risk of developing coronary artery disease because the liver also produces cholesterol and cholesterol contributes to atherosclerosis, which causes coronary artery disease, if CRP is increased, it can very softly evaluate risk of development. For CAD. Normal values are going to be below one milligram per liter. Collection happens in a serum separator tube or gold top. When increased, there is inflammation in an increased lab value. So, we’re gonna see that in infection, autoimmune diseases, and also even during pregnancy, and during an MI. It will be decreased when the inflammation is resolving, or if medications are taken to reduce the inflammation, you know which those are right? Of course you do, with the nonsteroidal anti-inflammatory drugs, statins, and of course, steroids. 

 

C-reactive protein or CRP, again is one of the inflammatory markers. So, it’s drawn in the cases of inflammation. Less than one milligram per liter is a normal value, whereas when it’s increased, that’s going to be in the cases of autoimmune disease, MI and pregnancy, any bit of inflammation. It will be decreased when the inflammation has been resolved or it’s being worked on with anti-inflammatory medications. 

 

You all did great on this lesson today. Now, this wraps it up. I hope that you have a great day and go out, be your best self and happy nursing.

References:

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Lab Values

Concepts Covered:

  • Immunological Disorders
  • Urinary Disorders
  • Hematologic Disorders
  • Disorders of the Thyroid & Parathyroid Glands
  • Pregnancy Risks
  • Proteins
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  • Shock
  • Disorders of Pancreas
  • Renal Disorders
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Study Plan Lessons

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Urine Culture and Sensitivity Lab Values
Fibrinogen Lab Values
Thyroxine (T4) Lab Values
Protein (PROT) Lab Values
Myoglobin (MB) Lab Values
Prealbumin (PAB) Lab Values
Ionized Calcium Lab Values
Triiodothyronine (T3) Lab Values
Fibrin Degradation Products (FDP) Lab Values
Procalcitonin (PCT) Lab Values
Beta Hydroxy (BHB) Lab Values
Creatinine Clearance Lab Values
Direct Bilirubin (Conjugated) Lab Values
Protein in Urine Lab Values
Bicarbonate (HCO3) Lab Values
Homocysteine (HCY) Lab Values
Growth Hormone (GH) Lab Values
Glucose Tolerance Test (GTT) Lab Values
Lactate Dehydrogenase (LDH) Lab Values
Glucagon Lab Values
Cortisol Lab Vales
Thyroid Stimulating Hormone (TSH) Lab Values
C-Reactive Protein (CRP) Lab Values
Prostate Specific Antigen (PSA) Lab Values
D-Dimer (DDI) Lab Values
Erythrocyte Sedimentation Rate (ESR) Lab Values
Mean Corpuscular Volume (MCV) Lab Values
Creatine Phosphokinase (CPK) Lab Values
Methemoglobin (MHGB) Lab Values
Phosphorus (PO4) Blood Test Lab Values
Carboxyhemoglobin Lab Values
Absolute Reticulocyte Count (ARC) Lab Values
Red Cell Distribution Width (RDW) Lab Values
Alpha-fetoprotein (AFP) Lab Values
Lithium Lab Values
Carbon Dioxide (Co2) Lab Values
Gamma Glutamyl Transferase (GGT) Lab Values
Mean Platelet Volume (MPV) Lab Values
Vitamin D Lab Values
Absolute Neutrophil Count (ANC) Lab Values
Vitamin B12 Lab Values
Free T4 (Thyroxine) Lab Values
Hepatitis B Virus (HBV) Lab Values
Cyclic Citrullinated Peptide (CCP) Lab Values
Total Iron Binding Capacity (TIBC) Lab Values
Brain Natriuretic Peptide (BNP) Lab Values
Troponin I (cTNL) Lab Values
Lipase Lab Values
Alkaline Phosphatase (ALK PHOS) Lab Values
Alanine Aminotransferase (ALT) Lab Values
Ischemic (CVA) Stroke Labs
Pediatric Bronchiolitis Labs
Renal (Kidney) Failure Labs
COPD (Chronic Obstructive Pulmonary Disease) Labs
Congestive Heart Failure (CHF) Labs
Sepsis Labs
Dysrhythmias Labs
Pneumonia Labs
Pregnancy Labs
Anion Gap
Hemoglobin A1c (HbA1C)
Glucose Lab Values
Urinalysis (UA)
Glomerular Filtration Rate (GFR)
Creatinine (Cr) Lab Values
Blood Urea Nitrogen (BUN) Lab Values
Liver Function Tests
Total Bilirubin (T. Billi) Lab Values
Ammonia (NH3) Lab Values
Cholesterol (Chol) Lab Values
Albumin Lab Values
Cultures
Coagulation Studies (PT, PTT, INR)
Platelets (PLT) Lab Values
White Blood Cell (WBC) Lab Values
Hematocrit (Hct) Lab Values
Hemoglobin (Hbg) Lab Values
Red Blood Cell (RBC) Lab Values
Cardiac (Heart) Enzymes
Shorthand Lab Values
Order of Lab Draws
Lab Panels