LABORATORY FINDINGS AND THERAPEAUTIC SHEET U P C N

HALCYON
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Name of Patient: Normal
_____________________________________________________ Date Date Date
Values:

Ward No.: ____ Bed No.: ____ Prothrombin

Time
Medical Diagnosis/Clinical Findings: Activated
_____________________________________________________ thromboplastic
time
Complete
Normal
Blood Date Date Date THERAPEAUTIC SHEET
Values
Count
ORAL
WBC: 4-11
RBC: 4-6
HGB: 120-180
0.370-
HCT:
0.540
MCV: 80-100
MCH: 27-31
MCHC: 320-360
RDW: 11-16
Retics:
Platelet: 150-450 PARENTERAL
Neutrophil: 0.5-0.7
Lymphocyte: 0.2-0.5
Monocyte: 0.02-0.09
Eosinophil: 0.0-0.06
Basophil: 0.0-0.02
Bands: 0.0-0.08

Blood Normal
Date Date Date
Chemistry Values PRN
BUN 2.26-6.4
Creatinine 53-115
Albumin 34-50
Calcium 2.12-2.52
Sodium 136-145 TREATMENT
Potassium 3.5-5.10
Chloride 98-107
Normal
Urinalysis Date Date Date
Values
Pale OTHER TESTS:
Color: yellow to Test:
Amber ___________________________________________________
pecific 1.001-
Gravity: 1.035 Date: _____________________
Transparency: Clear
PH: 4.5-8.0
RBC: 0-10
WBC: 0-13
Cast: 0
Test:
Bacteria: Negative ___________________________________________________
Bilirubin: Negative
Date: _____________________
Urobilinogen: 0.1-1.0
Ketone: Negative
Leucocytes: Negative
Nitrite: Negative

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