7.
DIAGNOSTIC and LABORATORY POCEDURES
Diagnostic/ Date ordered Indication or Purpose
Laboratory Date Results
Procedures
Complete Blood It is an important screening
Count test that includes RBC count,
hemoglobin and hematocrit,
WBC count and platelets.
Hemoglobin DO: 05-15-07 A hemoglobin determination
DR: 05-16-07 is used to evaluate the
hemoglobin content (and
thus the iron status and
oxygen-carrying capacity) of
erythrocytes by measuring
the number of grams of
hemoglobin per deciliter of
blood.
Hematocrit DO: 05-15-07 Often used in replacement of
DR: 05-16-07 the RBC count, the
hematocrit is a measure of
the volume of the RBCs in
Result/s Normal Values Analysis and
interpretation of results
105 g/dL 140 – 180 g/dL The result is below the
normal range which
indicates low transport
and exchange of oxygen
to the tissues and carbon
dioxide from the tissues.
It also indicates anemia
due to decreased in
circulating hemoglobin.
.34 % 0.42 - 0.52 % The result is below the
normal range which
indicates low
RBC/hemoglobin to the
 the whole blood expressed plasma level. It indicates
as a percentage. anemia.

WBC DO: 05-15-07 The WBC count measures
DR: 05-16-07 the number of WBCs in a
cubic millimeter of blood. It
is used to detect infection or
inflammation
6.9 x 109/L 5 -10 x 109/L The result is in normal
range, which indicates
absence of infection or
inflammation.

Segmenters DO: 05-15-07 To evaluate the presence of .48 % 0.40 - 0.60 % The result is in normal
DR: 05-16-07 bacterial infection or range which indicates
inflammation. absence of infection or
inflammation.

Lymphocytes DO: 05-15-07 To react with any antigen .32 % 0.20 - 0.40 % The result is within the
DR: 05-16-07 and together with the normal range which
monocytes modulate the indicates normal immune
body’s immune response. response.

Nursing Responsibilities:
Prior:
• Explain the procedure to the patient’s significant other.
• Tell the patient’s significant other that no fasting is required.
• Assure that collecting the blood sample take less than 3 minutes.
• Inform that he will be experiencing mild pain on site where the needle was pricked.
 During:
• Collect 5-7 ml of venous blood in a vacuum.
After:
• Apply pressure or pressure dressing to the venipuncture site.
• Check the venipuncture site for bleeding.
• Fill-up the laboratory form properly and send it to the laboratory technician during the collection of the sample of the specimen.
• Record all things done.

URINALYSIS
DATE
DIAGNOSTIC/ ORDERED INDICATION OR RESULT NORMAL ANALYSIS AND
LABORATORY DATE PURPOSE VALUE INTERPRETATION
PROCEDURE RESULTS IN
Urinalysis DO: 05-15-07 Urinalysis is ordered to Color:
identify any deviations Yellow Light Yellow to Normal
DR: 05-16-07
that may indicate the dark amber
diagnosis of the
patients. Sample is Transparency:
obtained and results are Slightly turbid Usually clear if Indicates bacterial
observed to strengthen lid-stream growth.
the suspected clean catch
diagnosis. urine.
The results are Sugar:
compared to the normal Negative Negative Normal
values and any
significant results may Albumin:
rule out or may even Negative Negative Normal
point out the specific
diagnosis Reaction:
Alkaline Alkaline Normal
 Specific
Gravity:
1.020 1.001-1.035 Normal

Pus cells:
1-3/HPF 0-1/HPF Indicates presence of
infection in the patient’s
Urinary tract

Epithelial Cells:
Few Few Normal

Nursing Responsibilities:
Prior

• Check doctor’s order.

• Explain to the SO the purpose and the procedure of urinalysis.

• Explain to the SO on how to obtain the midstream urine.
During

• Collect the urine in a clean specimen cup.

• Label the specimen cup properly.
After

• The specimen should be delivered to the laboratory within one hour.

• Refer the results to the physician.