LABORATORY AND DIAGNOSTIC PROCEDURE

DATE NAME OF PROCEDURE RESULT NORMAL VALUE NURSING IMPLICATION

 HEMATOLOGY
10-21-2018 WBC 14.32 X 10^3/uL 5.0-10.0 X 10^3/uL  Nursing implication for increased WBC
RBC 4.41 X 10^6/uL 4.2-5.4 X 10^6/uL  Check vital signs of the patient
HEMOGLOBIN 12.20 g/dL 12.0-16.0 g/dL  Note if temperature and pulse
HEMATOCRIT 35.80 37.0-47.0 increased
MCV 82.20 82.0-98.0  Assess for signs/symptoms of infection

DIFFERENTIAL COUNT  Nursing implication of decreased

NUETROPHIL 88.80% 43.4-76.2% Hematocrit
LYMPHOCYTE 7.5% 17.4-48.2%  Assess for causes and sign/symptoms of
MONOCYTE 4.6% 4.5-10.5% anemia, dizziness, tachycardia, weakness,
EOSINOPHIL 1.0% 1.0-3.0% fatigue, and dyspnea at rest
BASOPHIL 0.10% 0.0-2.0%  S/Sx of dehydration,noted thirst, poor
PLATELET COUNTS 313 X 10^3/uL 150-400 X 10^3/uL skin turgor, dry mucus membrane

10-26-2018 X-RAY -chest-PA/AP IMPRESSION:  Nursing implication for increased

Pneumonia,bilateral; Bilateral
Pulmonary tuberculosis w/
bronchiectasis and
emphysematous changes;
cardiomegaly MV form;
pulmonary hypertension;
pulmonary fibrosis
BLOOD CHEMISTRY LEVEL:
CREATININE 0.10-0.45 mg/dL
SODIUM 131.7 mmol/L
Nuetrophil
 Assess for causes and sign/ symptoms of
infection, most likely bacterial
 All wounds and catheters requires
carefully monitoring because they're
frequent source of infections.
 Avoid exposure to sick individuals and
those who’ve recently received vaccines
 Wash fruits and vegetables carefully
0.6-1.8 mg/dL  Wash there hands often, especially
135-148 mmol/L before eating and after toileting
 Immediately report a fever greater than
38 degrees celcius
 Report headache, facial tenderness, sore
throat, mouth sore, fatigue, or pain with
or without fever
 Report any symptoms of infection, such
as tenderness, erythema, or discharge at
any wound or I.V. site
 Report any bowel or bladder changes or
vaginal discharges or itching

 Nursing implication for decreased

Lymphocytes
 Assess for causes and sign/symptoms of
infections (HIV, influenza, malaria,viral
hepatitis, tuberculosis, typhoid fever,
sepsis)
 Report any symptoms of fever, cough,
runny nose, enlarged lymph nodes,
painful joints, skin rash, night sweats,
weight loss
 Tell pt to get plenty of rest and avoid
germs as your body recovers its
lymphocytes level
 Eat a nutrient-rich diet to feel better and
more energized. Especially proteins
 Wash hands thoroughly with soap and
warm water several times a day to help
prevent illness.