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LABORATORY/ DIAGNOSTIC RESULTS 

(Can attach the results in a separate sheet) 

LABORATORY Date Normal Result Significance Nursing


EXAM Taken Values Responsibilities

ALBUMIN 3.5-5.0 g/dL Higher levels of albumin may Before:


indicate dehydration or 1. Greet the
severe diarrhea. patient in a good
manner
BILIRUBIN ≤ 1.3 mg/dL 2. Identify
Lower aren’t no problem
patients identity
through his/her
Ammonia 0.17-0.80 wrist band
Normal
mcg/mL 3. Check the
doctor’s order
4. Check patients
count occurs most commonly
when your body requires vital signs.
an increased oxygen-carrying 5. Perform the
Hemoglobin 12.0-17.2 capacity, usually because: You necessary test to
g/dL smoke. You live at a b conducted.
high altitude and your red
blood cell production naturally During:
increases to compensate for 1. Check patients
the lower oxygen supply there. identity
2. Explain the
high, this means that you have procedure
more red blood cells than 3. Perform the
Hematocrit necessary
what's considered to be
35-50% procedure
healthy. High
hematocrit levels could indicate
underlying medical conditions After:
like: Dehydration. Carbon 1. Clean the area
2. Submit the
monoxide poisoning.
test and do
charting
Electrolytes
Variable Normal sodium level
Sodium: 136-
146 mEq/L
(mmol/L)

Chloride: 96- High levels of chloride may


106 mmol/L indicate: Dehydration. Kidney
disease. Acidosis, a condition
in which you have too much
acid in your blood.
Potassium:
3.5-4.5
mEq/L A low potassium level has
(mmol/L) many cause vomiting,
diarrhea, adrenal gland
disorders, or use of diuretics.
A low
potassium level can make
muscles feel weak, cramp,
twitch, or even become
paralyzed, and abnormal heart
rhythms may develop.
7-30 mg/dL
BUN
Normal
3.8-10.8 x 10 3

WBC /mm3
Normal

 
LABORATORY Date Norm Result Significan Nursing
EXAM Take al ce Responsibiliti
n Value es
s
ALBUMIN: If your albumin levels are
An albumin blood test 3.5- lower than normal, it may
measures the amount of 5.0 indicate one of the following
albumin in your blood. g/dL conditions:
Albumin is a protein made
by your liver. Albumin Liver disease,
helps keep fluid in your including cirrhosis
bloodstream so it doesn't Kidney disease
leak into other tissues. It is Malnutrition
also carries various Infection
substances throughout Inflammatory bowel
your body, including disease
hormones, vitamins, and
Thyroid disease
enzymes. Low albumin
levels can indicate a
problem with your liver or Higher than normal levels
kidneys. of albumin may
indicate dehydration or
severe diarrhea.

Bilirubin: bilirubin levels are higher


A bilirubin test measures than normal, it’s a sign that
total bilirubin. It can also either your red blood cells
give levels of two different are breaking down at an
types of bilirubin: unusual rate or that
unconjugated and your liver isn’t breaking down
conjugated. waste properly and clearing
the bilirubin from your blood.
Unconjugated (“indirect”)
bilirubin. This is the
bilirubin created from red Lower-than-normal levels of
blood cell breakdown. It bilirubin aren’t a problem.
travels in the blood to the
liver.
Conjugated (“direct”)
bilirubin. This is the
bilirubin once it reaches the
liver and undergoes a
chemical change. It moves
to the intestines before
being removed through
your stool.
 
Ammonia:
This test measures the
High ammonia levels
level of ammonia in your
Liver diseases, such
blood. Ammonia, also
as cirrhosis or hepatitis
known as NH3, is a waste
Hepatic
product made by your
encephalopathy
body during the digestion
of protein. Normally, Kidney disease or
ammonia is processed in kidney failure
the liver, where it is
changed into another A low
waste product called urea. level of ammonia could be
Urea is passed through caused by very high blood
the body in urine. pressure that comes on
quickly and suddenly.

 level is lower than normal,


it means you have a low red
blood cell count (anemia).
Hemoglobin is a protein
in your red blood cells that
 high hemoglobin count
carries oxygen to your
occurs most commonly
body's organs and tissues
when your body requires
and transports carbon
an increased oxygen-
dioxide from your organs
carrying capacity, usually
and tissues back to your
because: You smoke. You
lungs.
live at a high altitude and
your red blood cell
production naturally
increases to compensate for
the lower oxygen supply
there

lower than
Hematocrit : normal hematocrit can
A hematocrit is a simple indicate: An insufficient
blood test done to supply of healthy red blood
measure the red blood cells (anemia) A large
cells in a person's blood. number of white blood cells
Red blood cells due to long-term illness,
(erythrocytes) infection or a white blood
are important because cell disorder such as
they carry oxygen through leukemia or lymphoma.
your body. A low or high
red blood cell count can  hematocrit is high,
indicate a medical this means that you have
condition or disease. more red blood cells than
what's considered to be
healthy. High
hematocrit levels could ind
icate underlying medical
conditions like: Dehydration.
Carbon monoxide
poisoning.

sodium is high?
Hypernatremia typically
causes thirst. The most
electrolytes
serious symptoms of
hypernatremia result from
Sodium :
brain dysfunction. Severe
hypernatremia can lead to
confusion, muscle twitching,
seizures, coma, and death.

A low sodium level has


many causes, including
consumption of too many
fluids, kidney failure, heart
failure, cirrhosis, and use of
diuretics.

Low levels of chloride may
Chloride indicate: Heart failure. Lung
diseases. Addison's
disease, a condition in
which your body's adrenal
glands don't produce
enough of certain types of
hormones.

High levels of chloride may
indicate: Dehydration.
Kidney disease. Acidosis, a
condition in which you have
too much acid in your blood.

 High Potassium affects
the way your heart's
muscles work. When you
have too much potassium,
Potassium your heart may beat
irregularly, which in the
worst cases, can cause
heart attack.

A low potassium level has


many causes but usually
results from vomiting,
diarrhea, adrenal gland
disorders, or use of
diuretics. A low
potassium level can make
muscles feel weak, cramp,
twitch, or even become
paralyzed, and abnormal
heart rhythms may develop.

A low BUN value may be


A blood urea caused by a diet very low in
nitrogen (BUN) test meas protein, malnutrition, or
ures the amount of severe liver damage.
nitrogen in your blood that Drinking excessive amounts
comes from the waste of liquid may cause
product urea. Urea is overhydration and cause
made when protein is a low BUN value. Women
broken down in your body. and children may
Urea is made in the liver have lower BUN
and passed out of your levels than men because of
body in the urine. A BUN how their bodies break
test is done to see how down proteiN
well your kidneys are
working.

A high BUN value can


mean kidney injury or
disease is present. Kidney
damage can be caused by
diabetes or high blood
pressure that directly affects
the kidneys. High BUN
levels can also be caused
by low blood flow to the
kidneys caused by
dehydration or heart failure.
Many medicines may cause
a high BUN.

A low white blood cell


A WBC count is a blood count usually is caused by:
test to measure the Viral infections that
number of white blood temporarily disrupt the work
cells (WBCs) in the blood. of bone marrow. Certain
WBCs are also called disorders present at birth
leukocytes. They help fight (congenital) that involve
infections. There are five diminished bone marrow
major types of white function. Cancer or other
blood cells : Basophils. diseases that damage bone
marrow.

A high white blood cell


count usually indicates: An
increased production
of white blood cells to fight
an infection. A reaction to a
drug that increases white
blood cell production. A
disease of bone marrow,
causing
abnormally high production
of white blood cells.

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