V Labs and Diagnostics

STUDENT NURSE
V. LABS DIAGNOSTICS (Reference Range for the Hospital Only)

Test - Ref. Range
RBC
3.68 4.98 m/cmm
Hgb
11.4 15.4 g/dL
Hct
33.8-44.5%
Platelet
150 - 400 k/cmm
WBC
4.5 11.5 k/cmm
Test - Ref. Range

Neutros/seg
42-75%
Bands
0-5%
Lymphs
21-51%
Monos
2.6-11.4%
Eosinophils
0-5%
Basos
0-2%
2/1/15
Hematology
2/2/15
2/3/15
2/4/15
2/5/15
3.98
3.91
3.68
3.61
Interpretation: High or Low or WNL Ref: Kee, 2010, p. 365
Hemodilution r/t t overhydration with IV fluids since on 2/4/15 the pt. had a Net gain of 5950 mL of fluids.
3.78
10.4
10.1
9.5
9.4
Interpretation: High or Low or WNL Ref: Kee, 2010 p. 222
10
32.8
31.2
29.5
28.8
30.5
444
327
264
210
213
Possibly elevated due to trauma (pt. acute respiratory arrest and Sx.).
13.1
25.1
22.3
19.4
16.5
The pt. arrived to the ED with an infectious process in progress AEB the sputum cultures revealing growth of Klebsiella Oxyculta. This
is further supported by the elevated Bands and Neutros on 2/2/15. WBC starts to decrease once pt. is placed on antibiotics.
2/1/15
Differential
Ref: Kee, 2010, p. 437
2/2/15
2/3/15
2/4/15
2/5/15
55.7
96.3
Interpretation: High or Low or WNL
Elevated due to respiratory infection process with Klebsiella Oxytoca. Further supported by the elevated WBC and Bands on 2/2/15.
26
Elevated due to infection process with Klebsiella Oxytoca. . Further supported by the elevated WBC and Neutros on 2/2/15.
38
2.6
The percentages in the differential WBC count are affected by changes in any of the other WBC. Lymphs most likely decreased on
2/2/15 as a result of the increase of Neutros and Bands.
4.1
1.1
The percentages in the differential WBC count are affected by changes in any of the other WBC. Monos most likely decreased on
2/2/15 as a result of the increase of Neutros and Bands.
1.8
0
0.4
Chemistry
Test - Ref. Range
Na
135-145 mmol/L
K
3.4 5.1 mmol/L
Cl
98-107 mmol/L
CO2 (content)
24-32 mmol/L
Calcium
8.8-10.6 mg/dL
Glucose
50-99 mg/dL
2/1/15
2/2/15
2/3/15
2/4/15
2/5/15
140
141
139
140
142
4
4.3
3.5
3.6
3.5
103
109
106
108
111
Possibly increased due to cortisone preparations.
16
23
28
27
27
Pt. is on metabolic acidosis. I dont know why the pt. has decreased bicarbonate, Hx. of diarrhea reported in the H&P and none of her
meds lead to bicarbonate loss. Pt. has a Hx. of aspiration PNA and has PNA Maybe she already was in respiratory failure?
8.6
7.8
8.2
8.2
8.7
Possibly related to malabsorption of Ca from GI or lack of Ca and Vit D intake.
234
191
151
156
114
Possibly elevated due to stress r/t acute respiratory arrest and Sx.
V. Lab Diagnostics 1
STUDENT NURSE
BUN
7-21 mg/dL
Creatine
0.5-1.4 mg/dL
Magnesium
1.5-2. mg/dL
Phosphorus
3-4.5 mg/dL
Amylase
25-115 U/L
Total Protein
6.3-8.0 g/dL
Albumin
3.5-5 g/dL
T. Billirubin
0.3-1.2 mg/dL
ALP (Alk. Phos)

36-120 U/L
Uric Acid
3.6 8.5 mg/dL
Cholesterol
< 200 mg/dL
Triglycerides
40 150 mg/dL
HDL/LDL
LDL 60-180 mg/dL
HDL 0-80 mg/dL
Lactate
0.5-2.5 mmoL
LDH
45 90 U/L
CK (CPK)
17
15
11
14
21
0.6
0.5
0.5
0.5
0.5

Interpretation: High or Low or WNL Ref: Kee, 2010, p.33
6.7
6.1
Possibly r/t to malnutrition, further supported by low Ca level and Hx. of dysphagia. The sudden decrease is most likely the result of
fluids (Lexicomp)
3.2
3.4
Possibly r/t to malnutrition, further supported by low Ca and T. Protein level and Hx. of dysphagia.
0.3
1.2
141
97
Non fasting specimen results in increased ALP (Lexicomp)
14.3
2.1
1.4
Possibly elevated due to severe trauma r/t Acute Respiratory Arrest.
M 60 400 U/L
F 40 150 U/L
AST (SGOT)
57
94
Possibly elevated due to frequent use of Methadone and Hydromorphone.
21
44
14-36 U/L
ALT (SGPT)
9-52 U/L
T4
1.0-2.3 ng/dL
TSH3/HS
0.35-5.5 mU/mL
Troponin I
0.052
<0.4 ng/mL
Globulin
2.4-4.4 g/dL
Anion Gap
5-14 mmol/L
BNP
0-80 Negative
80-100 at risk
>100 Positive
Myoglobin
0-110 ng/mL
1.4
3.5
2.7
21
9
5
5
4
Possibly elevated r/t pt. adm. with Metabolic Acidosis AEB 2/1/15 ABGs results and decreased CO2. Anion Gap starts to go down once
the pt. is no longer in Metabolic Acidosis.
33
303
Possibly elevated r/t trauma, Sx. and metabolic stress.
STUDENT NURSE
Test - Ref. Range
PT
2/1/15
11.8 14.9 sec (control)

(1.5 - 2.5 X control
Therapeutic range)
INR
< 0.8-1.1 (control) (2.0 3.5
Therapeutic range)
APTT
23.5 36.4 sec (control)
(1.5 to 2.5 X control
Therapeutic range)
Coagulation Panel
2/2/15
2/3/15
2/4/15
2/5/15
15.2
The therapeutic range is 18-35 sec
Candy: I dont understand why the PT is elevated any ideas?
1.3
33.7
Interpretation: High or Low or WNL Ref. Kee, 2010, p. 316
Therapeutic range 33-85 sec
B. Other Relevant Diagnostic Tests: (Labs, X rays, EKGs, CT scans etc. abnormals only)
Cultures
2/1/2015 Respiratory Culture: Preliminary: Moderate Gram Negative Rods, Identification and susceptibilities to follow. Many normal upper respiratory flora
isolated. Gram stain: Moderate WBC, moderate Gram Pos Cocci in Pairs, Chains, Clusters.
PRELIM: Klebsiella Oxytoca
2/1/2015 Blood Culture: Negative
2/1/2015 Histology: Foreign body from airway 2.5 x 2 x 0.7 cm aggregate of poritons of tan, meaty substance. Result: Autolyzed Skeletal Muscle, consistent with
aspirated food.
cXR
2/1/2015 Patchy alveolar infiltrates throughout both lungs, left greater than right, especially at the left base. Tip of endotracheal tube is 4-5 cm above Carina.
2/1/2015 Compared to the examination from earlier on the same day, there is increasing left perihilar consolidation which could reflect confluent edema or
pneumonitis. No pneumothorax is identified.
2/2/2015 Compared to the examination from one day prior, there is worsening left perihilar consolidation which could reflect pneumonitis or asymmetric edema.
2/3/2015 No significant changes since yesterday. Diffuse consolidation of the left lung with persistent focal infiltrate at the right base.
cT of Head w/o contrast
2/2/15 No obvious noncontrast ct findings; brain death cannot be evaluated by noncontrast ct brain exam.
ECG 12 Leads
2/1/15 ST. Consider RA enlargement P> 0.24 mV limb lead Repol abnrm suggest ischemia, diffuse leads, ST-T neg, ant/lat/inf

V Labs and Diagnostics

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

V Labs and Diagnostics

Uploaded by

Copyright:

Available Formats

STUDENT NURSE

V. LABS DIAGNOSTICS (Reference Range for the Hospital Only)

Test - Ref. Range

Interpretation: High or Low or WNL

ALP (Alk. Phos)

Interpretation: High or Low or WNL Ref: Kee, 2010, p. 291

Interpretation: High or Low or WNL Ref: Kee, 2010, p.146

Interpretation: High or Low or WNL Ref: Kee, 2010, p. 394

Interpretation: High or Low or WNL Ref: Kee, 2010, p. 393

11.8 14.9 sec (control)

You might also like