Lab Indication of Clients-CBC

Lab Test Lab Test Measures Indication for

Component Client
Hemoglobin Measures the amount of Surgery, anticoagulants,
hemoglobin (oxygen antiplatelets, history of
carrying protein in the anemia, history of
blood) bleeding or *baseline labs
to check for anemia,
congestive heart failure,
lymphoma, kidney
diseases, cancers,
dehydration, fluid
overload, and sickle cell
anemia
Glucose Measures amount of Diabetes mellitus,
glucose in the blood diabetes, insipidus, oral
diabetic medications,
insulins, hypoglycemia,
total parenteral nutrition,
pancreatitis, diuretics,
Cushings Disease,
Addisons Disease,
hyperparathyroidism, and
steriods
Hematocrit Volume percentage of red Same as the indications
blood cells in the blood that affect hemoglobin
Red blood cells Measures the amount of renal disease, COPD,
red blood cells in the kidney disease, Systemic
peripheral blood Lupus Erythematosus,
congestive heart failure
and sickle cell anemia.
Also, *baseline RBC count
Platelets Detects the number of Liver disease,
platelets in the anticoagulants,
bloodstream antiplatelet medications,
alcoholism, hemophilia,
lupus erythematosus,
prolonged bleeding
and/or bruising. *Also
baseline to check for
normal clotting
White blood cells Measures the number of Post surgery, antibiotics,
white blood cells in the steroids, active infection
bloodstream or history of infections
especially kidney
 infections, cancers
including leukemia,
radiation therapy,
Addisons disease,
dietary deficiency,
chemotherapy, aplastic
anemia, lupus
erythematosus, and acute
allergic response. Also,
*baseline WBC count.
*Baseline would be done to assess clients complete blood count
upon admission to facility, to obtain accurate medical diagnosis, or
preparation for procedure including surgery.

Lab Indication of Clients-Chemistry

Lab Test Lab Test Measures Indications for

Component Client
Sodium The concentration of Dehydration, fluid
sodium intracellularly overload, kidney disease,
working with chloride to Addisons disease,
maintain acid-based sodium supplements
balance. Used to detect including IV fluids with
abnormal concentrations sodium, Cushings
of sodium that may cause Syndrome, increased
certain conditions sodium intake, vomiting,
diarrhea, and diuretics
such as Lasix, peripheral
edema, nasogastric
suctioning, burns,
excessive sweating,
pleural effusion, ascites,
diabetes insipidus, and
deficient dietary intake.
Also *baseline sodium
level
Chloride Chloride is an electrolyte Dehydration, fluid
that works with overload, kidney disease,
potassium, sodium, and sodium supplements
bicarbonate to help including IV fluids with
regulate the amount of sodium, increased sodium
fluid in the body and intake, vomiting,
 maintain the acid-base diarrhea, and diuretics
balance. A chloride blood such as Lasix, excess
test is used to detect sweating, Addisons
abnormal concentrations disease, burns, gastric
of chloride that may be suctioning, congestive
caused by a variety of heart failure, multiple
conditions. myeloma, anemia,
hyperventilation, and
metabolic or respiratory
acidosis. Also, *baseline
chloride level
Potassium A potassium test may be Dehydration, fluid
used to detect low overload, kidney disease,
potassium or high potassium supplements,
potassium levels as part IV solutions with
of a health checkup or in potassium, excessive
the evaluation of dietary intake, decrease
conditions such as kidney intake of potassium,
disease, heart disease or diuretics such as Lasix,
high blood pressure. Cushings Syndrome,
Insulin or glucose
administration, calcium
administration, diarrhea,
vomiting, and infection.
Also*baseline potassium
levels
Calcium A blood calcium test is Dehydration, fluid
ordered to screen for, overload, kidney disease,
diagnose, and monitor a calcium supplements,
range of conditions Vitamin D supplements,
relating to the bones, osteoporosis, bone
heart, nerves, kidneys, fractures, metastatic
and teeth. The test may bone tumors, vitamin D
also be ordered if a toxicity,
person has symptoms of hyperparathyroidism,
a parathyroid disorder, acromegaly, rickets,
malabsorption, or an malabsorption,
overactive thyroid; often pancreatitis, and
ordered when a person hypoparathyroidism.
undergoes a general Also, *baseline calcium
medical examination. levels
Albumin An albumin test is Liver disease, kidney
routinely used to help disease, malnutrition,
evaluate a person's multiple myeloma,
overall health status as Crohns Disease, ascites,
part of a comprehensive third spacing and lupus
metabolic panel (CMP) erythematosus. Also,
and may also be used to *baseline albumin levels
 evaluate conditions such
as liver or kidney disease.
Total Protein A total protein test is
routinely used to help
evaluate a person's
overall health status and
may also be used to
evaluate conditions such
as liver disease, kidney
disease, malabsorption,
cancers or infections. A
calculated ratio of
albumin to globulins (A/G
ratio) may also be
reported.
BUN The blood urea nitrogen
(BUN) test is used to
evaluate kidney function,
to help diagnose kidney
disease, and to monitor
acute or chronic kidney
dysfunction or failure.
Creatinine The creatinine blood test
is used to assess kidney
function and the amount
of creatinine in the blood.
*Baseline would be done to assess clients complete blood count
upon admission to facility, to obtain accurate medical diagnosis, or
preparation for procedure including surgery.
Liver disease, kidney
disease, Crohns Disease,
ascites, third spacing and
lupus erythematosus.
Also, * baseline total
protein levels
Dehydration, fluid
overload, kidney disease,
shock, congestive heart
failure, burns, and
malnutrition. Also,
*baseline BUN levels
Dehydration, fluid
overload, kidney disease,
congestive heart failure,
diabetes, debilitation,
myasthenia gravis,
muscular dystrophy, and
rhabdomyolysis and also
*baseline creatinine
levels