PROCEDURE PURPOSE NORMAL RANGE RESULT NURSING MANAGEMENT

Complete Blood Hemoglobin 120-140 g/L 94.00 g/l 1. Obtain a history of patient’s
Count (Low)
complain, including list of known
Date ordered (low
2/24/20 hemoglobin allergens.
5:00 AM level may
2. Obtain list of the patient’s current
Date Requested: indicate
02/24/20 anemia) medications, including herbs,
6:30 AM Hematocrit 0.37-0.45 g/L 0.28 g/L
nutritional supplements.
Date Draw/Done: (Low)
02/24/24 (low 3. Review the procedure with the
8:37 AM hematocrit
patient. Inform patient about the
level may
indicate procedure.
anemia or
4. Instruct patient to cooperate fully
specific
condition and to follow directions.
such
5. Direct the patient to breathe
person’s age
or pregnancy normally and to avoid
itself.)
unnecessary movement.
Erythrocytes 4.5-5.0 g/L 2.82 10^g/L 6. Instruct patient to put pressure in
injecting sight until the blood stop.
7. Instruct patient to report any pain
Thrombocytes 140-440 g/l 263.00 in the injection site or blood loss.
10^g/L
8. Promptly transport the specimen
to the laboratory for processing
Neutrophil 0.5- 0.65 0.77
 (High) and analysis.
(high
9. Monitor progression of the test
neutrophil
does not results to determine the next
usually
nursing management.
associate
with infection
or
inflammation
)
Lymphocytes 0.35-0.45 0.15
(Low)
(due to
reduction of
of B-
lymphocytes)
Monocytes 0.06-0.12 0.08

Eosinophils 0.02-0.04 0.00

(Low)
(abnormally
low
eosinophils
count can be
the result of
excessive
production of
cortisol)
Basophils 0-0.02 0.00

Absolute 1.5- 8.0 10^g/L 10.05 10^g/L

Neutrophils (High)
(neutrophils
can point to
a number of
underlying
conditions
and factors
including:
infection,
mostly
bacterial)
 PROCEDURE PURPOSE NORMAL RANGE RESULT NURSING MANAGEMENT
(PROTINE)
Prothrombin time
Coagulation Control 10.1-12.9 sec 11.4 sec Patient Preparation
Date Ordered
1. Explain to the patient that the
02/24/2020
5:00 AM Test 10.12- 12.37 10.4 sec plasma Prothrombin time test
Date Requested:
determines whether blood clots
02/24/2020
6:04 AM INR 0.8- 1.1 0.88 normally.
Date Done:
2. Notify the laboratory and
02/24/2020
9:31 AM Y. Activity 130 physician of drugs the patient is
taking that may affect test results;
it may be necessary to restrict
them.
3. Tell the patient that the test
requires a blood sample.
4. Explain who will perform the
venipuncture and when.
5. Explain to the patient that he may
feel slight discomfort from the
 tourniquet and the needle
puncture.
6. Inform the patient that he need
not to restrict food and fluids.
Implementation
1. Perform a venipuncture and
collect the sample in a 3 to 4.5 ml
siliconized tube.
2. Completely fill the collection tube
and invert it gently several times
to mix the sample
3. To prevent hemolysis, avoid
excessive probing during
venipuncture and rough handling
of the sample.
4. Immediately put the sample on ice
and send it to the laboratory.
Nursing Interventions
5. Apply pressure to the
venipuncture site until bleeding
has stopped.
6. If a hematoma develops at the
 venipuncture site, apply direct
pressure.

PROCEDURE PURPOSE NORMAL RANGE RESULT NURSING MANAGEMENT

(APTT)
 Coagulation Control 30.3-38.5 sec 36.9 sec Patient Preparation
Date Requested: Test
7. Explain to the patient that the
02/24/2020 28.26- 42.77 sec 73.7 sec
12:02 PM (High) plasma Prothrombin time test
Date Done: (a prolong
determines whether blood clots
02/24/2020 APTT
2:16 PM usually normally.
means that
8. Notify the laboratory and
clotting is
taking physician of drugs the patient is
longer to
taking that may affect test results;
occur than
expected it may be necessary to restrict
but
them.
associated
with 9. Tell the patient that the test
increased
requires a blood sample.
risk of blood
clots. 10. Explain who will perform the
venipuncture and when.
11. Explain to the patient that he may
feel slight discomfort from the
tourniquet and the needle
puncture.
 12. Inform the patient that he need
not to restrict food and fluids.

Implementation
7. Perform a venipuncture and
collect the sample in a 3 to 4.5 ml
siliconized tube.
8. Completely fill the collection tube
and invert it gently several times
to mix the sample
9. To prevent hemolysis, avoid
excessive probing during
venipuncture and rough handling
of the sample.
10. Immediately put the sample on ice
and send it to the laboratory.

Nursing Interventions
11. Apply pressure to the
venipuncture site until bleeding
has stopped.
12. If a hematoma develops at the
venipuncture site, apply direct
 pressure.

PROCEDURE PURPOSE NORMAL RANGE RESULT NURSING MANAGEMENT

Capillary Blood CBG 80-120 mg/dl 110mg/dl Patient Preparation

Glucose
1.Identify if patient has eaten before
TID
(Independent CBG getting the CBG.
taken)
2. Inform patient of the procedure.
Date Done:
02/24/2020 3. Prepare the equipment: blood glucose
1:15 AM
meter, cotton wool, gloves, glucose test

Capillary Blood CBG 80-120 mg/dl 102 mg/dl strips, lancet, lancing device and sharp
Glucose container (if available).
TID
(Independent CBG 4. Wash hands
taken) Implementation
Date Done:
02/24/2020 5. clean the area of the finger
6:00 AM 6. prick the tip of the finger using lancet
(pre-meals)
 Capillary Blood CBG 80-120 mg/dl 112 mg/dl and apply gently pressure to bring out
Glucose
the blood.
TID
(Independent CBG 7. allow blood to be drawn in the sheet
taken)
Then apply cotton wool to stop bleeding.
Date Done:
02/24/2020 After
`11:00 AM
8. Document the result.
 PROCEDURE PURPOSE NORMAL RANGE RESULT NURSING MANAGEMENT

Intake and Output Urine and stool (+)30ml – None Patient Preparation
Date Began:
1.Instruct patient about the procedure to
02/23/2020
NO I and O be done.
2. instruct patient to note for the levels
Intake and Output Urine and stool (+) 30ml Intake:800ml of urination if she will be urinating.
Date Began: 3 times
02/24/2020 Output:1000m 3. take note for any deviation in
7-3 AM l urination or stool of the patient.
4. Document the frequency of the
urination and the stool and refer if any
unusualities will be observe.