tet

DIAGNOSTIC AND LABORATORY ANALYSIS

FORMAT
Name: ________________________________________ Date: _______
Patient’s Diagnosis Tetanus
Date Ordered: Date Performed:

Name of Diagnostic and Laboratory Exam: Maxillofacial CT scan

Purpose of the Study: to detect fractures, orbit injury, eye infections, and tumor of
the face and nearby tissue.

Nursing Responsibilities Rationale

1. Check the doctors order To verify what examination to be done to the patient.
2. Explain the procedure to the patient and significant Explaining the procedure to the patient as well as their
others if present. Answer their questions truthfully and significance others helps allay anxiety and cooperation.
tactfully.
3. Obtain an informed consent properly signed. To provide sufficient information so that the patient can make
an informed decision about whether or not to enroll in a study
or to continue the diagnostic exam.
4. Assess for allergies.  Assess for any history of allergies to iodinated dye or shellfish
if contrast media is to be used.
5. Instruct the patient to not to eat or drink for a period To prevent nauseated, because there is the danger of throwing
amount of time especially if a contrast material will be up while lying down, which could cause the vomit to enter into
used. the lungs.

6. Instruct the patient to wear comfortable, loose-fitting
clothing during the exam.
7. Instruct the patient to remain still.  The patient asked to remain still because any movement will
8. Inform about the duration of the procedure
9. After the procedure, instruct patient to resume the
usual diet and activities unless otherwise ordered.
10. Encourage the patient to increase fluid intake (if
a contrast is given).
For proper result of the exam.
affect the clarity of the image.
Inform the patient that the procedure takes from five (5)
minutes to one (1) hour depending on the type of CT scan and
his ability to relax and remain still.
To reduce anxiety and to promote compliance.
To promote excretion of the dye.

Analysis of the Result:

The result shows that there is no acute pathology. Therefore, there is no evidence of
diseases.

Note: Please provide the result of the laboratory study at BACK

Result: no acute pathology