VI.

Diagnostic

Date

Laboratory

Ordered

Indication or
Result in

Laboratory / Diagnostic Procedure

Result

Purpose

Normal

Analysis and

values

interpretation

Procedures

Nursing Responsibilities
Prior

During

After

of the results

CBC

November

August 01,

Is a count of

(Complete

29, 2011

2010

the actual

Blood

number of

Count)

white blood
cells per
volume of
blood .Both
increases and
decreases can
be significant.

WBC
White Blood
Cell

3.6

4.6-10.2

Within

10-3/mL

Normal range

-Check

if -Use

theres

a precaution and specimen

doctors
order

standard -Label

sterile

container with

for technique when name,

CBC

date and time

specimen

the specimen
was

the

-apply pressure

procedure

on

patient

age,

getting

-Explain

to

the

the

the venipuncture
site

after

obtained,room
no., the doctor
who

ordered

the specimen.

withdrawing
specimen

-Send the
specimen to
the laboratory
immediately

Multiply the
Lymphocytes
% above by

LYM

1.2

Lymphocyte

0.6-5.2 10

Within

-3/mL

normal range

0.0 - 1.2 10

Within

3/mL

normal range

2.0 - 8.7 10

Below

3/mL

Normal range

the total
number WBC
a measure of
rare cells and
a number of
precursor
white cells
also known
(NEU)
surround,
engulf,
and destroy
invading
microbes,
normally
accounting
for anywhere
between 38%
and 80% of
the white
blood cell
count.

MID

0.6

Minimum
Inhibitory
Dilution
GRA
Granulocyte

1.9

Include T-

LYM%

32.1

12.0 51.0

cells, B-cells,

Within
Normal range

and natural
killer (NK)
cells.
Granulocytes GRA %
are the most
common and
most mature
form, and
usually
comprise
about 60-70%
of WBC's in
the body.

52

Measures the

9.1

amount of
oxygen-

HGB

43 85

Within
Normal range

Hemoglobin

11.5 - 16. 5

Within

g/dL

normal range

29.0 - 45.0

Within

normal range

carrying
protein in the
blood.
Measures the
percentage of
red blood
cells in a

HCT
Hematocrit

29.8

given volume
of whole
blood.
The number
of platelets in
a given

PLT

114

Platelet

150 400

Below

10-3/mL

Normal
Range

volume of
blood.
Is a
measurement
of the average
size of your
RBCs.
is a count of
the actual
number of red
blood cells
per volume of
blood. Both
increases and
decreases can
point to

MCV

96.5

Mean

80.0

Within

100.0 f %

Normal range

3.90 5.60

Below

10.6/ml

Normal

Corpuscular
Volume
RBC
Red Blood
Cell

3.09

abnormal
conditions.
Is a
calculation of
the average
amount of
oxygen-

MCH

29.4

Mean

25.0 - 47.0

Within

pq

normal range

30.0 45.0

Within

q/dL

normal range

11.5 - 14.5

Within

Normal range

Corpuscular
Hemoglobin

carrying
hemoglobin
inside a red
blood cell.
Is a
calculation of
the average
concentration
of
hemoglobin
inside a red

MCHC

30.5

Mean
Corpuscular
Hemoglobin
Concentratio
n

cell.
Is a
calculation of
the variation

RDW
RBC

11.7

in the size of

Distribution

your RBCs.

Widt

Measures the

MPV

average
volume (size)
of your
platelets.
Troponin I
TEST

Troponin test
November

November

29, 2011

29, 2011

8.2

Mean

8.5 14.5

Below

FL

Normal range

Platelet
Volume
Inform the

These assays

Discomfort or

is used to

patient

require a

bruising may

help diagnose

about the

sample of

occur at the

a heart attack,

procedure.

blood, which is

puncture site,

typically

or the person

obtained via a

may feel

standard

dizzy or faint.

venipuncture

Applying

procedure.

pressure to

Homocysteine

the puncture

tests require the

site until the

patient to fast.

bleeding stops

Homocysteine

reduces

is stable only in

bruising.

separated

Warm packs

to detect and
evaluate mild
to severe
heart injury,
and to
distinguish
chest pain
that may be
due to other
causes.

Troponin I

Negative

This will
cause pain
so it is
important
that the
patient
knows that
he/she will
be
punctured
to obtain

necessary

refrigerated or

to the

specimen.

frozen plasma

puncture site

for 48 hour

relieve
discomfort.

Clinical
Chemistry

Is generally
November

November

29, 2011

29, 2011

0.5 1.3

Above

Inform the

Instruct the

Discomfort or

mg/dL

Normal

patient

patient to stay

bruising may

with analysis

about the

still while the

occur at the

of bodily

procedure.

specimen is

puncture site,

being obtained.

or the person

concerned

fluids.

Creatinine

6.3

This will
cause pain
so it is
important
that the
patient
knows that
he/she will
be
punctured
to obtain
necessary
specimen.

may feel
dizzy or faint.
Applying
pressure to
the puncture
site until the
bleeding stops
reduces
bruising.
Warm packs
to the
puncture site
relieve

discomfort.
Na

139.4

Sodium
K

4.65

Potassium
Creatinine
November

November

30, 2011

30, 2011
K

2.7

4.65

Potassium
Creatinine
December

December

2, 2011

2, 2011
Na

2.7

142.8

Sodium
K

4.13

Potassium
Urinalysis
(UA)

Urine can be
November

November

evaluated by

Straw

SG: 1.90
Chemical

135 146

Within

mEq/L

Normal range

3.5 - 5.3

Within

mEq/L

Normal range

0.5 1.3

Above

mg/dL

Normal

3.5 - 5.3

Within

mEq/L

Normal range

0.5 1.3

Above

mg/dL

Normal range

135 146

Within

mEq/L

Normal range

3.5 - 5.3

Within

mEq/L

Normal range

Sugar:

Verify

Instruct the

Ensure the

Negative

doctors

patient to void

patient is in a

its physical

Rxn:

order

directly into a

comfortable

Protein

before

clean, dry

position after

performing

container.

the procedure.

cloudiness,

the

Sterile,

odor, clarity),

procedure.

disposable

appearance
(color,

or
macroscopic
analysis. It

Inform the
patient
about the

containers are
recommended.
Women should

Submit the
specimen to
the laboratory
at once.
Relay the

clean-catch

results to the

based on its

specimen if a

physician.

chemical and

microscopic

molecular

examination is

properties or

ordered. Feces,

microscopic

discharges,

assessment.

vaginal

analyzed
29, 2011

Acidic

always have a

can be also

29, 2011

Hazy

procedure.

secretions and
menstrual
blood will
contaminate the
urine specimen.

Radiologic
Report

November

November

29, 2011

29, 2011

There is accentuation of the pulmonary vascular

>> Explain

>> explain the > Patient can

markings.

the purpose

following:

and the
There is haziness in both lower lungs obscuring the

procedure.

diaphragm and both sulci.

True cardiac size cannot be assessed. Aorta is partly
calcified.

To determine
the overall

No other remarkable findings.

configuration
of the heart
and size of
the cardiac
chambers and
the lung

Pulmonary Congestion
Pleural Effusion, bilateral
Consider pneumonia , both lower lungs
Atheromatous Aorta

>patient will be

>Instruct

examination

the patient

table next to X-

to remove

ray machine

all metals
>the area to be

>Inform

exposed

patient that

transmission of

Chest X-ray radiologic will

is a

be

noninvasive

waves to the

procedure.

her/his normal
activities
immediately.
>inform
patient

scanned will be

IMPRESSION

to

resume
ask to sit on the

from chest.

size and

expect

flashed

regarding the
result

patients body
>the

patient

will experience
no pain during
the procedure
>Chest
fields.

scans

Xray
take

approximately
less

than

min.
complete.

30
to