Beruflich Dokumente
Kultur Dokumente
Name Date Values Normal Values Implication Definition, Indication, and Nursing
Ordered Obtained Responsibilities
ECG July 11 Normal An electrophysiologic study that
2009 cardiac cycle measures electric currents and
components impulses generated by the heart.
1. Have patient to completely
relax
2. Pt. should rest 15 mins.
Before procedure
3. Avoid heavy meals and
smoking 30 mins. Before
procedure.
Cranial CT July 11 No evidence of Imaging method that uses x-ray to
Scan 2009 tumor, create a cross sectional pictures of he
pathology or head
fracture 1. Fasting 4-6 hrs
2. Assess for allergies to iodine
3. Inform patient that contrast
may cause a slight burning
sensation
Chest X- ray July 11 Normal Projection radiograph of the chest.
2009 appearing and Used to diagnose conditions affecting
positioned the chest
chest 1. Remove all jewelry
2. Remind the patient to keep
still during the procedure
Complete July 11 HCT-40 -52% Ordered to detect anemia, blood loss
Blood Count 2009 HGB-13-17 and hydration status
g/dl 1. Explain purpose
2. Avoid stress to the client
3. Fasting is not necessary
BUN July 11 3.5-4.8 g/dl Measurement of urea nitrogen in the
2009 body and for patients with suspected
impaired renal function
1. Assess dietary history
2. Explain purpose
3. Interpret test outcomes
Creatinine July 11 0.9-1.3mg/dl For suspected impaired renal function
2009 1. Explain purpose and
procedure
2. Assess diet for meat and
protein intake
Na and K Test July 11 136-145 meq/l Na is the most abundant cation in the
2009 3.5-5.5 meq/l extracellular fluid while K transmits
electrical impulses in the cardiac
muscle.
1. Explain test purpose nad
procedure
2. Interpret test outcomes
Urinalysis July 11 Clear to amber An essential procedure for patients
2009 yellow urine undergoing hospital admission and to
determine presence of infection or
dysfunction in the system
1. Obtain history of any drug
ingested that might cause
discoloration
2. Obtain specimen via clean
midstream catch
Fasting Blood July 11 <110 mg/dl To determine diabetic levels and to
Sugar 2009 detect abnormalities in glucose
metabolism
1. Explain the purpose
2. Overnight fasting is required
3. Interpret test results
Lipid Profile July 11 140-199 mg/dl To determine risk for coronary heart
2009 disease
1. Explain test purpose and
procedure
2. Patient should abstain from
alcohol for 48 hrs
Diet
Activity/ Exercise
Complete Bed Rest with Passive ROM except the neck- involves a period of consistent recumbence to
bed.
Indication: Acute pain in spine and joint, chorea, complications of pregnancy and cardiovascular disease.
Nursing Management
• Assess neurological status: using GCS, LOC, voluntary and involuntary movements, vital signs
• Assess for signs of an increase in ICP: bradycardia, widening of pulse pressure, changes in
respiratory function
• Prevent Deformities- maintain proper body alignment and change position every 2 hours. Use
foot board to prevent foot drop.
• Maintain Skin Integrity- Keep skin clean and dry, gently massage dry skin
• Improving Family Coping- Provide Counseling and support to Family. Involve them in patient’s
care.
• Achieving Communication- talk to the patient when providing care activities to provide social
contact.
• Maintain Safety- raise side rails and never leave the patient unattended
• Monitor and Manage Potential Complications- Improve respiratory gas exchange with
supplemental oxygen, and suctioning.