Diagnostic

& Laboratory
Examination
 COMPLETE BLOOD COUNT

-is the branch of medicine that deals with the blood and with the organs
and body systems associated with the production of blood in the body.

-a complete blood count (CBC), also known as Full Blood Count (FBC) or
Full Blood Exams (FBE) or blood panel, is a test panel requested by a doctor or other
medical professional that gives information about the cells in a patient’s blood

PURPOSED:

 This test was done to evaluate overall health and detect a wide range of disorders,
including anemia or presence of infection.
 Routine laboratory examination

PROCEDURE:

 The patient is assigned in sitting position with the left or right hand stretch on a platform
on a table with the palm facing upward
 A venipuncture site will be chosen on where to get the blood specimen
 A tourniquet is applied around the arm
 The skin overlying the vein will be cleaned using cotton and an aseptic
 A needle is inserted through the area of cleansed skin into the vein below where the
tourniquet is applied
 Blood is pulled from the vein via the needle by gently pulling the plunger of the syringe
 After that, tourniquet is removed to facilitate venous return
 A dry cotton ball is taped in the insertion site upon the removal of the needle
 The blood sample is then sent to the laboratory for analysis

NURSING RESPONSIBILITIES:

 Check the doctor’s order

 Explain the procedure to the patient and its rationale
 Use aseptic technique by cleansing the venipuncture site with cotton and alcohol
 Inform patient what he/she may feel
 There are no food, fluid, or medication restrictions unless by medical direction
 Evaluate the venipuncture site and pressure if there is continuous bleeding
 Report any results to the requesting HCP, who will discuss the results with the patient
DATE ORDERED: July 29, 2014
RESULT: July 31, 2014
COMPONENTS NORMAL VALUES RESULTS ANALYSIS
Hemoglobin (Hgb) M: 14.0-18.0 g/dL 6.8 Active bleeding related
F: 12.0-16.0g/Dl to hemoptysis
Hematocrit (Hct) M: 42-52 % 22.7 Due to RBC destruction
F: 37-47 %
WBC count 5.2-10.5 x 109/L 18.14 Due to infection
secondary to invasion of
bacteria or respiratory
disease
DIFFERENTIAL
COUNTS
Neutrophils 40-60 % 89 Due to infection
secondary to invasion of
bacteria or respiratory
disease
Lymphocytes 20-40 % 7.5 Due to infection
secondary to invasion of
bacteria or respiratory
disease
Monocytes 2-8 % 3.4 NORMAL
Eosinophils 0-7 % 0.1 NORMAL
Basophils 0-2 % 0 NORMAL
PLATELET 150-450 x 10 g/L 700
COUNT
TOXIC Negative Negative NORMAL
GRANULES