Hematology CBC- 5parts

PARAMETER RESULT UNIT REF. RANGE

White blood cell 10.9 10^9/L 5.00-10.00
Neutrophils # 8.78 10^9/L 2.00-7.00
Lymphocyte 1.64 10^9/L 0.80-4.00
Monocyte 0.38 10^9/L 0.12- 120
Eosinophil 0.09 10^9/L 0.02-0.50
Basophils # 0.01 10^9/L 0.00-0.10
Neutrophils % 80.5 % 50.0-70.0
Lymphocyte % 15.0 % 20.0-40.0
Monocyte % 3.6 % 3.0-12.0
Eosinophil % 0.8 % 0.5-50
Basophils % 0.1 % 0.0-0.1
RBC 5.25 10^9/L 3.50-5.50
Hemoglobin 113 9/L 110-160
Hematocrit 35.4 % 37.0-54.0
MCV 67.4 FL 80.0-100.0
MCH 21.6 P9 27.0-34.0
MCHC 320 9/L 320-360
RDW-CV 14.5 % 11.0-16.0
Platelet 259 10^9/L 150-450

Physical Examination: IE, 1cm + Moderate Bleeding

Clinical DV: G2 P1 (1001) Abortion incomplete, 10-11 weeks AOG, Spontaneous
nonseptic.
Pass History: None

URINALYSIS TRANSPARENCY
CHEMICAL EXAM MICROSCOPIC EXAM
Leukocytes NEGATIVE Pus cells 0-2/ HPF
Nitrite NEGATIVE RBC 0-1
Urobilinogen NEGATIVE TYPE:
Protein NEGATIVE Epithelial cells rare/ LPF
PH 6.5 TYPE:
Blood NEGATIVE Mucus Threads /LPF
Sp. Gravity 1.005 Bacteria rare/ LPF
Ketone NEGATIVE Yeast cell /LPF
Bilirubin NEGATIVE
Glucose NEGATIVE
 RADIOLOGY RESULT
Pelvic UTZ: Examination
The uterus is slightly enlarged measuring 1.9 cm equivalent to 6 weeks 2 days sonar
age which is empty.

DRUG STUDY
DRUG NAME MODE OF INDICATIONS/ SIDE EFFECT NURSING
ACTION CONTRAINDICATION CONSIDERATION

GENERIC NAME: The mechanism INDICATION: Joint pain Patients allergic to or

Celocoxib of action of Celecoxib also has an Headache with a history of
celecoxib is due FDA indication for the Vomiting Anaphylactic
BRAND NAME to the selective reactions to
inhibition of
management of acute Nausea
Celebrex pain in adult women Insomnia sulfonamides,
cyclooxygenase-2
(COX-2), which is and primary aspirin, or other
CLASSIFICATION: NSAIDs may be
responsible for dysmenorrhea.
COX-2 Inhibitors prostaglandin allergic to this drug
Furthermore, the FDA
synthesis, an also recommends using
ROUTE: integral part of the
Oral celecoxib as an adjunct
pain and
inflammation therapy in patients with
DOSAGE: pathway.  This familial adenomatous
200mg/amp pharmacologic polyposis to reduce the
activity gives number of colorectal
celecoxib polyps.
its analgesic, anti-
inflammatory, and
CONTRADICTION:
antipyretic effects.
-Contraindicated for
the treatment of
perioperative pain
after CABG.
-Contraindicated in
patients hypertensive
to drugs,
sulfonamides, aspirin,
or other NSAIDs.
 DRUG NAME MODE OF INDICATION/ SIDE EFFECT NURSING
ACTION CONTRAINDICATION CONSIDERATION

GENERIC NAME: Methylergonovine INDICATION: Delivery Nausea Mothers should not

methylergonovinebelongs to a of the placenta, for Stomach breast-feed during
maleate class of drugs routine management pain treatment with
called ergot of uterine atony, Dizziness Methergine and at
BRAND NAME: alkaloids. least 12 hours after
hemorrhage, and Unpleasant
Methergine Methylergonovine administration of the
subinvolution of the taste in your
is used to prevent last dose.
CLASSIFICATION: or treat bleeding uterus. mouth.
from the uterus CONTRADICTION:
that can happen Hypertension; toxemia
ROUTE: IM after childbirth or ; pregnancy; and
an abortion. hypersensitivity.
DOSAGE: 1amp

DRUG NAME MODE OF INDICATION/ SIDE EFFECT NURSING

ACTION CONTRAINDICATION CONSIDERAT
GENERIC NAME: Paracetamol INDICATION: There are no kn
Paracetamol has a central Non-opioid analgesic allergic reaction, harmful effects w
analgesic effect and antipyretic agents which can cause used during
BRAND NAME: that is mediated are used to treat pain a rash and pregnancy.
Panadol through the and fever. swelling. flushing
activation of CONTRADICTION: , low blood
CLASSIFICATION: descending  Hypersensitivity to pressure, and a
Analgesic serotonergic acetaminophen, severe fast heartbeat
pathways. hepatic impairment, or
ROUTE: IV Debate exists severe active hepatic
about its disease.
DOSAGE: 500mg primary site of
action, which
may be the
inhibition of
prostaglandin
(PG) synthesis
or through an
active
metabolite
influencing
cannabinoid
receptors.
 DRUG NAME MODE OF INDICATION/ SIDE NURSING
ACTION CONTRAINDICATION EFFECT CONSIDERATION

GENERIC NAME: INDICATION: difficulty Give only after blood

AMPICILLIN Ampicillin i BACTERIAL MENINGITIS breathing culture is drawn 
sa SOFT TISSUE or Observe for signs of
BRAND NAME: penicillin INFECTION swallowing. adverse reactions -
AMPICILLIN SODIUM derivative wheezing. "ampicillin rash" is
used for CONTRAINDICATION: severe usually seen after 5 -
CLASSIFICATION: the A history of diarrhea 14 days of treatment,
ANTIBIOTIC treatment Hypersensitivity to any (watery or and the incidence is
of a variety penicillin is a bloody higher in patients with
ROUTE: IV of contraindication. stools) that other viral infections 
infections may occur
DOSAGE: 2 grams caused by with or
gram- without
positive fever.
and gram-
negative
bacteria as
well as
some
anaerobes

DRUG NAME MODE OF INDICATION/ SIDE NURSING

ACTION CONTRAINDICATION EFFECT CONSIDERATION

GENERIC NAME: Cefuroxime, INDICATION: If large dose are

Cefuroxime axetil like For the treatment of given, therapy is
penicillins, is many different types of prolonged, or patient
BRAND NAME: a beta-lactam bacterial infections such is a high risk, monitor
Cefuroxime antibiotic. By as bronchitis, sinusitis, patient for signs and
binding to tonsillitis, ear infections, symptoms of
CLASSIFICATION specific skin infections, gonorrhea, superinfections.
Antibiotics penicillin- and urinary tract
binding infections. Monitor PT and INR
ROUTE: Oral proteins in patients with
(PBPs) CONTRAINDICATION: impaired vitamin K
DOSAGE:100 mg 1 located inside Contraindicated in synthesis or low
tablet BID the bacterial patients hypersensitive to Vitamin K stores.
cell wall, it drug or to cephalosporins. Vitamin K therapy
inhibits the may be needed.
third and last
stage of
bacterial cell
wall
synthesis.