30

DIAGNOSTIC TEST AND LABORATORY TEST

HEMATOLOGY LAB RESULT FEBRUARY 6,2017

DIAGNOSTIC/
LABORATORY NORMAL VALUES RESULTS INTERPRETATION NURSING RESPONSIBILITIES
TEST

Monitor for signs & symptoms of anemia

42-51% vol
(fatigue, paleness, & tachycardia)
(Below normal limits)
Hematocrit 33.0% vol Assess changes in VS for shock
decreased RBC
(tachycardia, tachypnea, & normal or
decreased BP

11.0gms Assess clinical problems & drugs that

13-18 gms
could cause this
Hemoglobin
(Below normal limits) Monitor for signs & symptoms of anemia
decreased RBC (dizziness, tachycardia, weakness, dyspnea
at rest)
Check hematocrit if hemoglobin is low.

White blood Cell 5.00 10.00 21,800 Encourage intake of protein-rich and
x10^9/L cu.mm calorie-rich foods
An increase in WBC count could
 31

represent an ongoing infection or

a malignancy like your leukemia.

increased WBC: -check temp.,

s/s infection/inflammation,
assess for any txt-antibiotics
DIAGNOSTIC/
LABORATORY NORMAL VALUES RESULTS INTERPRETATION NURSING RESPONSIBILITIES
TEST

Low levels of your neutrophils

could be seen in patients with
Monitor platelet count, especially with
viral infection, autoimmune
bleeding episodes, & report abnormals to
diseases, some medications and
physician
malignancy.
Monitor for signs & symptoms of bleeding
Segmenters (purpura, petechiae, hematemesis, rectal
55-65% 27% In response to increase in
bleeding)
steroids (produced by adrenal
glands during stress or
administered).

Lymphocyets 25-35% 70% Monitor for signs & symptoms of anemia

An increased in lymphocyte (fatigue, paleness, & tachycardia
count usually represents an
acute infection especially viral
infections, etc.
 32

In chronic & viral infections

Low levels of monocytes are Monitor platelet count, especially with

usually none significant if other bleeding episodes, & report abnormals to
Monocytes 2-4% 03% cells are normal. physician

During the healing process

A low eosinophil level is usually

Eosinophils 1-3% 0.4% Check temp., s/s infection/inflammation
not a cause for concern and is
actually quite common.
DIAGNOSTIC/
LABORATORY NORMAL VALUES RESULTS INTERPRETATION NURSING RESPONSIBILITIES
TEST

(With in norman range)

150,000- 448,000
Platelets Infections, acute blood loss, Check temp., s/s infection/inflammation
450,000cu.mm cu.mm
splenectomy, polycythemia vera,
myeloproliferative disorders.
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HEMATOLOGY LAB RESULT FEBRUARY 9,2017

DIAGNOSTIC/
LABORATORY NORMAL VALUES RESULTS INTERPRETATION NURSING RESPONSIBILITIES
TEST
 34

42-51% vol Explainto the mother the test procedure.

(Below normal limits)
29.9 Explain that slight discomfort may be felt
Hematocrit when the skin is punctured to the mother.
decreased RBC

(Below normal limits) Apply manual pressure and dressings over

decreased RBC: assess fatigue, puncture site on removal of dinner.
Hemoglobin 13-18 gms
VS, dietary deficiencies (protein, Monitor the puncture site for oozing or
10.2 iron) hematoma formation.

Check temp., s/s infection/inflammation

An increase in WBC count could
13,800 Assess for any txt-antibiotics
5.00 10.00 represent an ongoing infection or
White blood Cell
x10^9/L a malignancy like your leukemia.

increased WBC

Low levels of your neutrophils

21 could be seen in patients with
Segmenters 55-65%
viral infection, autoimmune Check temp., s/s infection/inflammation
diseases, some medications and
malignancy.
DIAGNOSTIC/ NORMAL VALUES RESULTS INTERPRETATION
 35

LABORATORY
TEST
75
An increased in lymphocyte
count usually represents an
Lymphocyets 25-35%
acute infection especially viral
infections, etc.

Low levels of monocytes are

usually none significant if other
Monocytes 2-4% 04 cells are normal.

NURSING RESPONSIBILITIES
A low eosinophil level is usually
not a cause for concern and is
actually quite common.
Encourage to avoid stress if possible
Eosinophils 1-3%
because altered physiologic status
Stress (burns/shock),
influences and changes normal hematologic
adrenocortical hyperfunction
values.
(Cushing's
288,00 With in norman range

150,000- Monitor platelet count, especially with

Platelets Infectiions, acute blood loss,
450,000cu.mm bleeding episodes, & report abnormals to
splenectomy, polycythemia vera,
physician
myeloproliferative disorders
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FEBRUARY 7, 2017

RADIOLOGIC REPORT
CHEST APL
Hazy densities are seen in both inner lung zones. The rest of the lungs are clear. Both hemidiaphragms and CP sulci are intact. The
rest of the osseous structures are unremarkable. Fluid in lungs exceeds > 15 ml/ day.