KRISTIAN KARL B.

KIW-IS
DIAGNOSTIC STUDIES: 
 
ACTIVITY 3:  Using a reference book (specify), you have to fill in the values
that are asked. Indicate the appropriate rationale for the diagnostic test
done, its purpose, the abnormality and/or nursing intervention needed.  
Laboratory test & Reference/nor Result   Interpretation  What have caused the abnormality/
Pertinent mal values  Purpose/NI 
Laboratory
Result 
1.  scores of 18   Moderate  There's no single cause of depression. It can
Hamilton 0–7 are (mild): 14– occur for a variety of reasons and it has many
Depression considered 18 different triggers. For some people, an upsetting
Rating as being or stressful life event, such as bereavement,
Scale  normal, divorce, illness, redundancy and job or money
worries, can be the cause.

 Provide for patient’s physical

needs. Assist with self-care and
personal hygiene. Encourage patient to
eat. Give warm milk or back rubs at
bedtime to improve sleep.
 Plan activities for times when the
patient’s energy level peaks.
 Assume active role in initiating
communication. This can be done by
sharing observation of patient’s
behavior, speaking slowly and allowing
ample time for him to respond,
encouraging him to talk and write down
feelings, and by providing a structured
routine which may include
noncompetitive activities.
 Avoid feigned cheerfulness, but don’t
hesitate to laugh with him and point out
the value of humor.
 Educate patient about depression.
Explain that depression can be eased
by expressing feelings and engaging in
pleasurable activities. Emphasize that
there are effective methods available for
relief of symptoms.
 Help patient recognize distorted
perceptions and link them to his
depression.
 Ask patient whether he thinks about
death or suicide. Signal an immediate
need for consultation and assessment.
Risk of suicide is higher with lifting of
depressed mood.
 Stress the need for medication
compliance. Review adverse effects
with the patient.

2.  1-10_These 24   21-  Including faulty mood regulation by the brain,

The Beck ups and downs 30_Moderate genetic vulnerability, stressful life events,
Depressio are considered depression medications, and medical problems. It's
n normal believed that several of these forces interact to
Inventory  bring on depression.

3.  If your liver Negative   Normal  Liver function tests can be used to: Screen for
Liver function test liver infections, such as hepatitis. Monitor the
function results range progression of a disease, such as viral or
 test   between 7-56 alcoholic hepatitis, and determine how well a
units/litre for treatment is working. Measure the severity of a
ALT and 10-40 disease, particularly scarring of the liver
got AST, your (cirrhosis)
liver function is
normal.
4.  vitamin B12 in   Low    Low level of  Not having enough B12 can lead to anemia,
Vit B12   your Vit. B 12 which means your body does not have enough
bloodstream is red blood cells to do the job. This can make you
generally feel weak and tired. Vitamin B12 deficiency can
between 190 cause damage to your nerves and can affect
and 950 memory and thinking.
picograms per
milliliter Vitamin B12 deficiency anaemia is usually
(pg/mL). treated using injections of vitamin B12. The
Between 200 to vitamin is in the form of a substance known as
300 pg/mL is hydroxocobalamin. At first, you will have
considered injections every other day for two weeks. These
borderline and injections will be given to you by your GP or
your doctor may nurse.
do more testing.
Below 200
pg/mL is low
and more
testing is
needed.
FEEDBACK:  That’s the spirit keep going.   
You might want to have a few minutes break before proceeding to the areas of the module.