Procedure/ Date Hematology/

Indication

Normal/ Values findings

Actual Findings

Nursing Responsibilities/ Implication Carried out the doctors order.

WBC

The test can help to know presence of infection or allergic reaction. An increase in number of WBC may indicate leukemia, severe sepsis and bacterial infection. A decrease in number of WBC may indicate viral infection.

0.19-0.48

0.12 It is the normal function of the person to increase the WBC count during presence of infection.

Before the procedure: Explain the procedure and importance of this laboratory exam. It will identify infection. Instruct the client that the procedure doesnt require fasting.

RBC A decreased number of RBCs results from either acute or chronic blood loss. Acute blood loss is a rapid depletion of blood volume. Chronic blood loss stems from various conditions that often results in some form of an anemia. Chronic anemias are due to loss of small amounts of blood over a long period of time (bleeding), mechanical destruction of the RBCs, or some physiologic problem such as decreased RBC production. Increased number of RBCs can result from a number of conditions that include dehydration, congenital heart disease, pulmonary diseases, and situations involving tissue hypoxia

4.1-5.1x10^12/L

3.17 x10^12/L Because of kidney failure, production of erythropoietin decreased which affects the decrease production of RBC

During the procedure: Blood is drawn in the antecubital area about 7.5 ml for a few minutes.

After the procedure: Instruct the client to apply pressure of puncture dressings to venipuncture site. Check the venipuncture site for any bleeding. Document relevant data and report abnormal

Hemoglobin

Hematocrit

The test is done to tell how much hemoglobin is in the blood. An increase number of hemoglobin may indicate dehydration and congenital heart disease while a decline number of hemoglobin may indicate hemorrhage and anemia. The test done to measures the percentage of the volume of whole blood that is made up of red blood cells. An increase number of hemotocit may indicate dehydration and congenital heart disease while a decline number of hematocrit may indicate hemorrhage and anemia. The MCV reflects the size of red blood cells. It is used to diagnose types of anemia

findings immediately to the doctor 123-153x g/L 99.8 x g/L Due to low RBC level, the hemoglobin level also decreases.

0.359-.446

0.295 Due to low RBC and hemoglobin level, the hematocrit level also decreases.

80-96 fl

85.83 Fl

MCV

MCH

The MCH reflect the hemoglobin content of red blood cells. It is used to diagnose types of anemia

27.0-31.0 pg

27.25 pg

MCHC

The MCHC reflect the hemoglobin content of red blood cells. it is used to diagnose types of anemia

0.32-0.36

0.32

Platelets

To test is done to detect bleeding disorders or bone marrow diseases, such as leukemia

150-400x10^9/L

160 x10^9/L

0.40-0.70 Neutrophils(%) 25.0-40.0 % Lymphocytes (%) 3.0-11.0 % Monocytes (%) 1.0-4.0 % Eosinophils (%) 0.0-0.1 % Basophils (%)

0.77