X-Ray

Purpose:

Chest: There are diffuse patchy densities in both lungs.

Heart is not enlarged
No specific chest findings

IMPRESSION: Pneumonia, Bilateral

Abdomen: There are gas and feces filled bowel loops.

Flank stripes are intact
The osseous structure are unremarkable.

IMPRESSION: No localizing sign

Analysis:

Nursing Responsibilities

Before the procedure:

1. Verify doctor’s order to determine the specific procedure to be done to the client
2. Make sure that the client understands the indications and the things expected during the
procedure to gain cooperation.
3. Facilitate the laboratory request and make sure to send it to the laboratory as soon as
possible to inform the medical technologist about the procedure to be undertaken and
order for them to perform the procedure immediately so as for the physician to picture
out the patient’s condition in the earliest time possible.
During the procedure:
1. Instruct the patient to inhale deeply and hold the breath until the image is taken because
the lungs are best visualized when they are well aerated. Also, the diaphragm is at its
lowest level and the largest expanse of the lungs is visible.

After the Procedure:

1. Once result of the test is in, refer immediately to the physician for immediate action.
2. Document relevant data for reference as well as for legal purposes.

Complete Blood Count

 RESULT NORMAL VALUES SIGNIFICANCE
White Blood Cell 9.35 10^9/L 4.9-10.9 Normal
Red Blood Cell 9.67 10^12/L 4.7-6.1 Increased
Hemoglobin 17.95 g/L 13-17 Increased
Hematocrit 63.34 % 40-52 Increased
MCV 71.44 82-96 Decreased
MCHC 28.34 g/L 33-38 Decreased
Platelet Count 126 10^9/L 150-400 Decreased
Neutrophil 64.3% 40-70 Normal
Lymphocyte 19.1% 19-48 Normal
Eosinophil 1.1% 2-8 Decreased
Monocyte 9.8% 3-9 Increased
Basophil 5.7% 0-5 Increased

ANALYSIS: An increase in the red blood cells is attributed to the compensatory mechanism of the
body to

12:26

RESULT NORMAL VALUES SIGNIFICANCE

White Blood Cell 9.59 10^9/L 4.9-10.9 Normal
Red Blood Cell 7.76 10^12/L 4.7-6.1 Increased
Hemoglobin 19.56 g/L 13-17 Increased
Hematocrit 63.82 % 40-52 Increased
MCV 63.30 82-96 Decreased
MCHC 29.46 g/L 33-38 Decreased
Platelet Count 116 10^9/L 150-400 Decreased
Neutrophil 71.4% 40-70 Increased
Lymphocyte 15% 19-48 Decreased
Eosinophil 2% 2-8 Normal
Monocyte 8.7% 3-9 Increased
Basophil 4.9% 0-5 Normal

Arterial Blood Gas

This test is used to determine the pH of the blood and the partial pressures of carbon
dioxide (PaCO2) and oxygen (PaO2) within it. It is used to assess the effectiveness of gaseous
exchange and ventilation, be it spontaneous or mechanical. An arterial blood gas (ABG) test
measures the acidity (pH) and the levels of oxygen and carbon dioxide in the blood from an
artery.

RESULT NORMAL VALUES SIGNIFICANCE

pH 7.44 7.35-7.45 Normal
pCO2 25.5 mmHg 35-45 mmHg Decreased
pO2 89.4 mmHg 80-100 mmHg Normal
HCO3 17.3 mEq/L 22-26 mEq/L Decreased
B.E 6.7 mEq/L +/- 2 mEq/L
O2 Saturation 97.3 97% Increased

Interpretation: Respiratory Alkalosis, Fully Compensated

May 12, 2011

Culture Isolate: No Growth after 24-hour incubation

May 15, 2011

Culture Isolate: No Growth after 24-48 -hour incubation

 Urinalysis

Glucose Negative
Protein
Bilirubin
Urobilinogen
pH

Ketone
Nitrate
Leukocyte
Clarity
Specific Gravity
Color