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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Study Plan Lessons

Fluid & Electrolytes Course Introduction
Fluid Pressures
Coronary Circulation
Fluid Shifts (Ascites) (Pleural Effusion)
Isotonic Solutions (IV solutions)
Hemodynamics
Hypotonic Solutions (IV solutions)
Hypertonic Solutions (IV solutions)
Performing Cardiac (Heart) Monitoring
Performing Cardiac (Heart) Monitoring
Nursing Care and Pathophysiology of Angina
Sodium-Na (Hypernatremia, Hyponatremia)
Calcium-Ca (Hypercalcemia, Hypocalcemia)
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Chloride-Cl (Hyperchloremia, Hypochloremia)
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Nursing Care and Pathophysiology for Pulmonary Edema
Phosphorus-Phos
Heart (Cardiac) Failure Module Intro
Normal Sinus Rhythm
Nursing Care and Pathophysiology for Heart Failure (CHF)
Nursing Care and Pathophysiology for Heart Failure (CHF)
Sinus Bradycardia
Sinus Tachycardia
Atrial Fibrillation (A Fib)
Cardiovascular Disorders (CVD) Module Intro
Oxygen Delivery Module Intro
Hierarchy of O2 Delivery
Nursing Care and Pathophysiology of Hypertension (HTN)
Nursing Care and Pathophysiology of Hypertension (HTN)
Nursing Care and Pathophysiology for Valve Disorders
Nursing Care and Pathophysiology for Arterial Disorders
Nursing Care and Pathophysiology for Thrombophlebitis (clot)
Nursing Care and Pathophysiology for Thrombophlebitis (clot)
Nursing Care and Pathophysiology for Pulmonary Embolism
ABG (Arterial Blood Gas) Interpretation-The Basics
ABG (Arterial Blood Gas) Oxygenation
ABG Course (Arterial Blood Gas) Introduction
ABGs Nursing Normal Lab Values
ABGs Tic-Tac-Toe interpretation Method
Base Excess & Deficit
Bicarbonate (HCO3) Lab Values
Blood Urea Nitrogen (BUN) Lab Values
Brain Natriuretic Peptide (BNP) Lab Values
Bronchoscopy
C-Reactive Protein (CRP) Lab Values
COPD (Chronic Obstructive Pulmonary Disease) Labs
Carbon Dioxide (Co2) Lab Values
Cardiac (Heart) Enzymes
Cardiac Anatomy
Cholesterol (Chol) Lab Values
Coagulation Studies (PT, PTT, INR)
Congestive Heart Failure (CHF) Labs
D-Dimer (DDI) Lab Values
Dysrhythmias Labs
Fluid Compartments
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Lung Sounds
Metabolic Acidosis (interpretation and nursing diagnosis)
Metabolic Alkalosis
Nursing Care and Pathophysiology for Asthma
Nursing Care and Pathophysiology for Tuberculosis (TB)
Nursing Care and Pathophysiology of Angina
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Nursing Care and Pathophysiology of Pneumonia
Potassium-K (Hyperkalemia, Hypokalemia)
ROME – ABG (Arterial Blood Gas) Interpretation
Respiratory Acidosis (interpretation and nursing interventions)
Respiratory Alkalosis
Venous Disorders (Chronic venous insufficiency, Deep venous thrombosis/DVT)