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COURE IN THE WARD DATE February 18, 2013 DOCTORS ORDER IVF NURSING ANALYSIS RESPONSIBILITIES -Monitor and

- For regulate IVF hydration - Monitor I/0 -Check the IV site and note for bleeding or any obstruction -Monitor vital signs and observe for circulatory impairment.

Labs: ABG

-to evaluate the efficiency of pulmonary gas exchange. -to determine the acid base level of the blood -To confirm bacterecemia

BUN -Inform the patient that he need not to restrict food and fluids, but should avoid diet high in meat -Explain to the patient that he may experience slight discomfort from the tourniquet and needle puncture -Explain to the patient that the serum creatinine test is used to evaluate kidney function. -Explain to the

Creatinine

-To assess glomerular filtration.

CBC

patient that he may experience slight discomfort from the tourniquet and the needle puncture. To assess the hematological status of the patient.

Medications: salbutamol

- Assist the patient before, during and after the procedure -Check the lab result for any deviations -To control and prevent reversible -Assess lung airway sounds, PR and obstruction BP before drug administration and during peak of medication

LABS: RESU LT Hemoglobi n (male) 146. 2 g/l NORMAL VALUES 127-183 g/l CLINICAL SIGNIFICANCE The hemoglobin molecule fills up the red blood cells. It carries oxygen and gives the blood cell its red color. The hemoglobin test measures the amount of hemoglobin in blood and is a good measure of the blood's ability to carry oxygen throughout the body. This test measures the amount of space (volume) red blood cells take up CLINICAL MANIFESTAT IONS NURSING RESPONSIBI LITIES

Hematocri t

0.44 0

0.4150.504

in the blood. The value is given as a percentage of red blood cells in a volume of blood. White blood cells 20.8 5 g/L 4.810.8 X 10 g/L White blood cells protect the body against infection. If an infection develops, white blood cells attack and destroy the bacteria, virus, or other organism causing it. The number of white blood cells is sometimes used to find an infection or to see how the body is dealing with cancer treatme nt. Release the hormones necessary to coagulate blood, preventing excessive blood loss from an internal or external injury -fever -provide tepid sponge bath administer antipyreti cs, as ordered.

Platelet count

452 X 10 g/L

150400g/L

Increased in platelet count occurs in tandem with an inflammato ry disease

-advised patient to avoid sharp objects, razors, oral care, no spicy foods.

Lymphocyt 0.04 es

0.20 0.40

Determine the specificity of the immune response to infectious microorganisms and other foreign substances White blood ce ll which play a role in immune system function Responsible for combating multicellular parasites and certain infect ions in verteb rates. They increase in number with allergy and some parasitic conditions and decrease with steroid administration . to evaluate kidney function in a wide range of circumstances, to help diagnose kidne y disease, and to monitor people with acute or chronic kidney

Decreased due to infection and inflammati on

-massive amounts of replacemen t fluids

Monocytes 0.02

0.00 0.07

Eosinophi 0.01 ls

0.000.05

Blood urea nitrogen

4.74 mmol /L

2.507.20 mmol/L

dysfunction or failure. Creatinin 72.8 e 0 umol /L SGOT/AST 35.0 0 U/L SGPT/ALT 20.0 0 U/L 71-115 umol/L 0-37 U/L 0-41 U/L the indicator of a good kidney function the indicator of a good kidney function the indicator of a good kidney function