Urinalysis Date: January 17, 2011
Laboratory test Color transparency Normal values Physical Examination yellow Amber-yellow hazy Clear Results Analysis Nursing considerations 1. Explain the procedure and specific method of urine collection. 2. Give the proper specimen jars and cleaning agents if necessary. 3. If possible, obtain first void of the day because it¶s more concentrated than the others. 4. Cover and refrigerate immediately if the specimen will not be tested right away because the PH of a covered specimen will become alkaline because the co2 will diffuse into the air. (diagnostic testing and nursing implications, 3rd edition P223-224) y Albumin, sugar, blood: recommend diet low in protein. (diagnostic testing and nursing implications, 3rd edition P221)

Caused by pyuria, bacteriuria, or phosphates in the urine. Ref: ³Saunder¶s Nursing Guide Lab & Diagnostics (p.652)

PH Specific gravity Albumin Sugar Blood Keytones Nitrite Bilirubin Urobilinogen Leucocytes

5.5 1.015

4.8 ± 7.8 1.015 ± 1.025 Chemical Examination Positive + Negative, normally not present Positive +++ Negative Negative Negative Positive +++ Negative Negative Negative Positive +++ Negative Negative Negative Trace Negative

Glomerulus dilates and impairs because of decreased oxygen reuptake which causes passage of big particles such as albumin, sugar, and blood into the urine. (diagnostic testing and nursing implications, 3rd edition P221) Keytones can increase if presence of starvation or abnormal carbohydrate metabolism Ref: ³Saunder¶s Nursing Guide Lab & Diagnostics (p.653)

Epithelial cells WBC


Microscopic Examination 4.20 /ul 0 - 11 41.10 /ul 0 - 11 Elevation in WBC in the urine indicates urinary tract infection, pyuria. Ref: ³Saunder¶s Nursing Guide Lab & Diagnostics (p.654) 7.90 /ul 0-11

Post test: y Ensure that the vial of blood or the microcapillary tube is covered and sent to the laboratory without delay.8 5. Apply pressure to the vein puncture site.248.70 ± 8.00 u/L 16.121) Creatine Sodium Potassium SGPT (ALT) Chemical Examination 73. 2011 Laboratory test Total bilirubin Direct Bilirubin Indirect Bilirubin SGOT (AST) Results Normal values Bilirubin Serum 78.6 4.40 7. 2.293.35 96Fl 32 pg 34 ml Differential count . Nursing Guide Lab & Diagnostics (p. Ref: ³Saunder¶s Nursing Guide Lab & Diagnostics (p.297) Nursing considerations Pretest: y Instruct patient to fast for 8-12 hours over night.77 . Ref: ³Saunder¶s Nursing Guide Lab & Diagnostics (p.00 umol/L 53. erythrocyte count: Hemoglobin 11. Assess site for bleeding. Nursing Guide Lab & Diagnostics (p. due to injury of the liver cells or blockage within the intrahepatic bile ducts.30 263.50 ± 5..1 ± 15.00 72.00 Decreased filtration by the glomeruli and renal tube absorption.00 Analysis The hepatic classification refers to problems within the liver. .223) Due to decreased RBC count.223) Caused by the excess loss of RBC.7 g/dl 12. hematocrit.0 3. Nursing Guide Lab & Diagnostics (p. Increased weight of hbg.00 U/L 8 ± 53.98 78 ± 100 27 ± 31 Caused by excessive loss of cells.123-124) Hematology (CBC) Date: January 17.20 6.37 .2 ± 5. Explain procedure to the patient.70 Because of Hemoglobin.80 ± 27. Obtain the specimen and immediately transfer the blood to the appropriate container. 3rd edition P374) y 0.00 9.35 umol/L 1. 2011 Laboratory test WBC RBC Results Normal values Complete Blood Count 6. (diagnostic testing and nursing implications.33 umol/L 1.50 ± 0 .5 mmol/day 133.4 Analysis Nursing considerations 1.5 ± 16.68 umol/L 6.0 ± 10.00 ± 115.20 umol /L 3. 3.LABORATORY VALUES Clinical Chemistry Date: January 17.0 Hematocrit Mean cell volume Corpuscular hbg Corpuscular hc Segmenters .00 ± 40.70 ± 17.10 224.

saunders.09 0. A few mobile echonergic foci with posterior shadowing measuring . 2011 PTT Pt.83 cm are seen within the lumen. Positive sonographic murphy¶s sign is elicited.20 ± 0. Positive mobile medium level echoes are also seen layering in its dependent wall.82 x 0.66 cm .7 0.99 Normal Ranges 28 ± 44 seconds 70 ± 130 Equal to or less than 1. Calculus cholecystitis with biliary sludge . 2011 Liver is normal size.44 0. Control Control Pt.7 seconds Prothrombin time 11. Increase echogenicity.. Parenchyma is homogenous.8 seconds 11. Intrahepatic and common ducts are not dilated. The gallbladder is normal in size with thickened walls (.8 seconds 79. Assess patient for O2 status.LABORATORY VALUES Lymphocytes Monocytes . Common duct measures . (diagnostic testing and nursing implications.4 Ultrasound of the Hepatobillary Tree Date January 18. page 680) increase O2 and promote DBE. 3rd edition P 370-371) Provide clean environment and assess signs of infections PTT TEST Date: January 18.5cm. Activity INR Result Unit Coagulation 37.83 cm is seen in the left hepatic lobe. IMPRESSION: Hepatic steatosis Hepatic cyst ± left.02 ± 0. An anechoic focus with enhanced through ± transmission measuring 0.(laboratory and diagnostic tests.11 0.09 infection lymphocytes and monocytes will increase triggered by the immunoresponse.5 cm).

CBD was not dilated with filling defects seen at mid.LABORATORY VALUES Endoscopic Retrograde Cholangioancreatography Report Date: January 19.CBD. Sweepingusing dormia basket yielded few yellowish bile sludges after which the balloon cholangiogram was done and able to extract one light yellowish stone and plenty of sludges. choledocholithiasis. 2011 esophagus and stomach Duodenum Ampulla Pancreatic duct Common bile duct Findings Normal Normal Potulous amnulla genenous sphirictorotomy dore Not visualized The CBD was selectively cannulated using sphinecterotomy guide wire system. Multiple filling defect noted No filling defects seen Gallbladder and cystic ducts Intrahepatic duct and helium IMPRESSION: Cholecystolithiasis. bile sludges .

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