Lab Results Dengue 2

7/27/2019 Lab Results Dengue 2

1/11

Date Basic Tests withNormal Values

Rationale Result Clinical Significance Nursing Interventions

07/23/07 Complete BloodCount

A complete bloodcount (CBC)

provides importantinformation about

the kinds and

number of cells inthe blood especially

red blood cells andplatelets.

A complete bloodcount may be done

as part of a routineof physical

examination. Ablood count can

provide valuable

information aboutthe general state of

the patients health.

To supply figures

for computing theerythrocytic

indices, whichreveal RBC size

and hemoglobincontent.

1. Explain to thepatient that hgb

test is used todetect Anemia

or to assess his

response totreatment.

2. Tell the patientthat a blood

sample will be

taken. Explainwho will

perform thevenipuncture

and when.3. Explain to the

patient that she

may feel slightdiscomfort

from the needle

puncture andthe tourniquet.

4. Monitor vitalsigns.

5. Tell the patientthat he needs

not restrictfoods and


2/11

Hemoglobin:M: 140-180 g/dL

F: 120-160 g/dL

Erythrocyte:

M: 4.5-5.0x

10^12/LF: 4.0-5.0x

10^12/L

Leukocytes:

5.0-10 x 10^9/L

To determine

infection orinflammation.

To determine theneed for further

tests.

Measure theamount of

Hemoglobin found

in a deciliter (dL or100 mL) of whole

blood.

Measures thedegree of

erythrocyte settlingin the blood sample

during a specified

period.

122 g/dl

NORMAL

4.28 10^12/LNORMAL

2.0 10^9/L

LOW

Levels decreased with

reduced RBCproduction, blood loss,

and hemolysis. Levelsmay appear decreased

when hemoglobin is

abnormal. Thehemoglobin level is

usually approximatelyone third of the

hematocrit; variations

in this relationshipmay indicate

intervening variablesaffecting the accuracy

of one test or the other.Increased level:

Erythrocytosis,

Hemoglobinopathies,CHD, Severe COPD,

Dehydration

Decreased level:

Anemia,Hemoglobinopathies,

cirrhosis, bone marrowfailure, renal disease

Elevated in acuteinfections disease, and

in the lymphocytic and

monocytic fractions in

fluids.

PRE:

Explain that

this testmeasures a part

of the blood

that carriesoxygen

Explain that

this test alsohelps to assess

the bodysability to fight

infection, to tell

the differencebetween allergy

and infection.

POST

Applypressure

(directdigitalis) to

the arterialpuncture

site for at


3/11

Lymphocytes:0.55-0.65%

Monocytes:

0.02-.06 %

This determines the

number ofcirculating WBCs

per cubic millimeter

of whole blood.

Important in

humoral in cellmediated immunity,

lymphocytes areproduced in the

lymph nodes,spleen, thymus,

tonsils and

lymphoid tissue of

0.42%

LOW

0.10%

HIGH

viral disease, allergy,

and intestinalparasitosis. Elevated in

acute leukemia,following

menstruation, and

following surgery ortrauma,

agranulocytosis and bytoxic agents such as

chemotherapeutic

agents used in treatingmalignancy.

Increased Level:Hemorrhage, acute

infection, epithelialcancer and

splenectomy.

Decreased level:

Leukemia, aplastic andiron deficiency

anemia, may also

include severedebilitating illness

such as renal failure.Increased level:

May indicate infection,trauma, stress,

hemorrhage or

dehydration

least 5

minutesthen apply a

pressurebandage

Observe site

for

hematoma

or bleeding

Encourage

rest periods

for clientexperiencin

g fatigue Monitor VS

and I & O


4/11

7/24/07 @ 12NOON

Neutrophils:0.55-0.65%

Eosinophils:0.01-0.05%

Basophils:

0.000-0.005%

Hematocrit:

M: 0.40-0.48

F: 0.37-0.45

the gut. Together

with the neutrophilsthey make up the

majority white cellsin the peripheral

blood.

The bodys secondline of defense,

monocytes arrive atinfection sites in

smaller numbers

than neutrophils.

More than half the

white cells in theperipheral

circulation areneutrophils,

because they

quickly killsignificant

quantities ofmicroorganism. It is

the bodys first lineof defense against

infection.

0.40%

LOW

0.08%

HIGH

0.00%NORMAL

0.37NORMAL

Decreased level:May indicate drug

toxicity, anemia cancerand viral diseases.

Increased level:

May indicate infection,ischemic necrosis,

metabolic disorders,stress response or

inflammatory disease.

Decreased level:

May signal drugtoxicity and bone

marrow infiltration.Increased level:

They are generally

unaltered in aninfectious process but

it is increased duringparasitic infection.

Increased level:

Leukemia and otherpathologic alterations

in bone marrowproduction may give

rise to an increase inbasophils.


5/11

7/24/07 @ 6 PM

Thrombocytes:

150.0-300.0 x

10^9/L

Hematocrit:M: 0.40-0.48

F: 0.37-0.45

Thrombocytes:

A cell containing

granules that areeasily stained by

eosin or other acid

dyes, especially atype of white blood

cell.

A cell especially a

white blood cellthat stains readily

with a basic dye. Awhite blood cell

having basophilicgranules in the

cytoplasm.

The volume of thered cells,

(erythrocytes) in theblood, expressed

the fraction of the

total volume of theblood. Centrifuging

the blood in thetube and measuring

the height of theblood in the tube

and measuring the

height of the red

53.0LOW

.39

NORMAL

42.0

LOW

Increased level:

Suggests polycythemiaor hemoconcentration

caused by blood loss.

Decreased level:

May indicate anemiaor hemodilution.

Increased level:

Polycythemia vera,Iron deficiency

anemia, Postsplenectomy

syndrome.

Increased level:



Decreased level:May indicate anemia

or hemodilution.

Explain to the patient

that HCT is a test usedto detect anemia and

other abnormal blood

conditions


6/11

7/25/07 @ 12:00

MIDNIGHT

7/25/07 @ 6 AM

150.0-300.0 x

10^9/L


F: 0.37-0.45

Thrombocytes:150.0-300.0 x

10^9/L

Hematocrit:

cell column as the

fraction of the totaldetermine it.

A disc shapedstructure, 1-2mm in

diameter present in

blood. Withromanovsky stains

platelet appear asfragments of pale

blue cytoplasm with

neutrophilsThe volume of the

red cells,(erythrocytes) in the

blood, expressedthe fraction of the

total volume of the

blood. Centrifugingthe blood in the

tube and measuringthe height of the

blood in the tube

and measuring theheight of the red

cell column as thefraction of the total

determine it.A disc shaped

structure, 1-2mm in

diameter present in

.40NORMAL

55.0LOW

.39

NORMAL

Increased level:Polycythemia vera,

Iron deficiency

anemia, Postsplenectomy

syndrome.

Increased level:Suggests polycythemia

or hemoconcentrationcaused by blood loss.


or hemodilution.


Iron deficiencyanemia, Post

splenectomy

syndrome.


7/11

7/25/07 @ 6 PM

M: 0.40-0.48

F: 0.37-0.45


10^9/L


F: 0.37-0.45

blood. With

romanovsky stainsplatelet appear as

fragments of paleblue cytoplasm with

neutrophils



the fraction of the




and measuring the

height of the redcell column as the


A disc shaped

structure, 1-2mm indiameter present in


platelet appear asfragments of pale

blue cytoplasm with

neutrophils

63.0

LOW

0.38NORMAL

64.0LOW

Increased level:



Decreased level:


Increased level:


anemia, Postsplenectomy syndrome

Increased level:




8/11

7/26/07 @ 6 PM

7/26/07 @ 5 PM


10^9/L

Hematocrit:

M: 0.40-0.48F: 0.37-0.45

Thrombocytes:

150.0-300.0 x10^9/L



the fraction of the



the height of the

blood in the tubeand measuring the



A disc shaped



platelet appear as




blood, expressed

the fraction of the

0.38

NORMAL

85.0

LOW

0.37

NORMAL

Decreased level:


Increased level:


anemia, Post

splenectomy syndrome

Increased level:

Suggests polycythemia


Decreased level:

May indicate anemia

or hemodilution.

Increased level:

Polycythemia vera,

Iron deficiency


9/11

Hematocrit:

M: 0.40-0.48F: 0.37-0.45

Thrombocytes:

150.0-300.0 x10^9/L

total volume of the


tube and measuringthe height of the

blood in the tube



determine it.

A disc shapedstructure, 1-2mm in

diameter present inblood. With


fragments of pale

blue cytoplasm withneutrophils


(erythrocytes) in the

blood, expressedthe fraction of the



the height of the

blood in the tube

114.0LOW

anemia, Post


Increased level:Suggests polycythemia



or hemodilution.


Iron deficiencyanemia, Post



10/11

and measuring the



A disc shaped



platelet appear as




blood, expressed

the fraction of thetotal volume of the


tube and measuring




determine it.

A disc shaped


11/11

structure, 1-2mm in

diameter present inblood. With


fragments of pale

blue cytoplasm withneutrophils

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