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Myelogram through a lumbar-puncture needle, a contrast medium is injected intothe subarachnoid space of the spinal column to visualize the spinal cord.- Used to detect herniated or ruptured intervertebral disks, tumors and cysts thatcompress or distort spinal cord. Nursing consideration : Elevate head of bed = with water soluble contrast Flat position with oil contrast V/s every 4 hr for 24 hr.3. Lumbar puncture puncture of the lumbar subarachnoid space of the spinalcordwith a needle to withdraw samples of cerebrospinal fluid.- Used to evaluate CSF for infections and determine presence of hemorrhage. Note: not done if increased ICP is suspectedPosition: Before : fetal position / knee chest positionAfter : flat or supine T e s t I n d i c a t i o n A n t i g e n s k i n T e s t t o r u l e - o u t c a n c e r o f t h e l u n g s B e n e d i c t s t e s t F o r g l u c o s e m o n i t o r i n g B e n t o n i t e F l a c c u l a t i o n T e s t T e s t f o r f i l a r i a s i s B e u t l e r s t e s t T e s t f o r g a l a c t o s e m i a B l a n c h i n g t e s t D e t e r m i n e s t h e i m p a i r m e n t i n c i r c u l a t i o n B r o n s u l p t h a l e i n t e s t L i v e r a n g i o g r a p h y C a l o r i c t e s t T e s t d o n e b y p l a c i n g w a t e r i n t h e e a r c a n a l c a u s e s n y s t a g m u s . A test for inner ear C D 4 d e t e r m i n a t i o n C h e c k i n g t h e i m m u n e s t a t u s t o A I D S p a t i e n t C e r e b r a l p e r f u s i o n t e s t T e s t u s e d t o c h e c k t h e c e r e b r a l f u n c t i o n C o o m b s t e s t D e t e r m i n e s t h e p r o d u c t i o n o f t h e a n t i b o d i e s . R h o G A M i s given (1 st 72 hours)C P K B B T e s t f o r b r a i n m u s c l e s C P K M B T e s t f o r

c a r d i a c m u s c l e s : f o r M I C P k M M T e s t f o r m u s c l e i n j u r y Dark field illumination test andkalm testDetermination for the presence of syphilis D i c k t e s t D e t e c t s c a r l e t f e v e r D u l l s e y e t e s t D e t e r m i n e s t h e p r e s e n c e o f b l i n d n e s s . D o n e i n 1 st ten days (+)normal (-) abnormalE L I S A t e s t D e t e r m i n e s p r e s e n c e o f H I V Gram staining and Culture of Determination for the presence of gonorrhea

cervical and urethral smear G r o s s h e a r i n g t e s t T e s t u s e d b y w h i s p e r i n g w o r d s o r s p o k e n v o i c e t e s t G u t h r i e t e s t T e s t f o r P K U H e a t a n d A c e t i c a c i d t e s t F o r p r o t e i n o r a l b u m i n d e t e c t i o n Immunochromatographic testA rapid assessment m e t h o d d o n e f o r f i l a r i a s i s . T h e a n t i g e n t e s t that can be done at daytimeJ o n e s C r i t e r i a O n e w a y o f d i a g n o s i n g R h e u m a t i c h e a r t f e v e r L e p r o n i n t e s t A s c r e e n i n g t e s t f o r l e p r o s y L i v e r e n z y m e t e s t F o r S G O T a n d S G P T L i v e r p r o f i l e t e s t D e t e r m i n e s H e p a - b s u r f a c e a n t i g e n L u m b a r p u n c t u r e D e t e r m i n e s f o r t h e p r e s e n c e o f m e n i n g i t i s a n d e n c e p h a l i t i s . Position the patient in side lying positionM a l a r i a s m e a r T e s t t o c o n f i r m m a l a r i a ; s p e c i m e n i s t a k e n a t t h e h e i g h t o r peak of fever M a n t o u x t e s t D e t e r m i n a t i o n f o r T B e x p o s u r e M e n i e r e s t e s t T e s t f o r v e s t i b u l a r f u n c t i o n M e t h y l e n e b l u e t e s t F o r k e t o n e d e t e c t i o n M o l o n e y

t e s t H y p e r s e n s i t i v i t y t e s t f o r D i p h t h e r i a Ox yt oci n chal l ege t est Det ermi nes i f t he fetus can t ol erat e ut eri ne c o n t r a c t i o n ; ( + ) C S is necessaryP a n d y s t e s t D e t e r m i n e s t h e p r e s e n c e o f p r o t e i n i n t h e C S F P h e n o s u l p t h a l e i n t e s t K i d n e y a n g i o g r a m Q u e c k k e n s t e d t s t e s t T e s t t h a t i n v o l v e t h e c o m p r e s s i o n o f j u g u l a r v e i n s R e c t a l s w a b D o n e i n p a t i e n t w i t h c h o l e r a , p i n w o r m d e t e c t i o n R i n n e T e s t S h i f t e d b e t w e e n m a s t o i d b o n e a n d t w o i n c h e s f r o m t h e e a r canal openingR o m b e r g s t e s t A s s e s s g a i t a n d s t a t i o n s u c h a s a t a x i a S c h i c k t e s t S u s c e p t i b i l i t y t e s t f o r d i p h t h e r i a ( + ) n o i m m u n i t y ( - ) w i t h immunityS c h i l l e r s t e s t S t a i n i n g t h e c e r v i x w i t h a n i o d i n e s o l u t i o n . H e a l t h y t i s s u e s w i l l turn brown, while cancerous tissue resist the stainS c h i l l i n g t e s t U s e d t o p a t i e n t w i t h s e v e r e c h i l l i n g s e n s a t i o n ; f o r c o n f i r m a t i o n of pernicious anemiaS c h w a b a c h t e s t D i f f e r e n t i a t e b e t w e e n c o n d u c t i v e a n d s e n s o r i n e u r a l d e a f n e s s , mastoid of patient and examiner S h a k e t e s t D e t e r m i n e s t h e a m o u n t o f s u r f a c t a n t i n t h e l u n g s . S k i n t e s t P u r p o s e i t t o p r o d u c e a n t i g e n r e a c t i o n S l i t s k i n s m e a r A c o n f i r m a t o r y t e s t f o r l e p r o s y S p e c i f i c g r a v i t y t e s t F o r d i a b e t e s m e l l i t u s a n d i n s i p i d u s a s w e l l a s f o r d e h y d r a t i o n S p e r m c o u n t t e s t F o r m a l e i n f e r t i l i t y ( l o w s p e r m c o u n t o v e r s e x ) S p u t u m e x a m F o r d e f e c t i o n a n d s e n s i t i v i t y o f c a u s a t i v e m i c r o o r g a n i s m , f o r pneumonia and TBS u l k o w i t c h t e s t U r i n e t e s t d e t e c t i o n f o r c a l c i u m d e f i c i e n c y a n d c a l c i u m i n t h e urineS w e a t c h l o r i d e t e s t U s e d t o d i a g n o s e d c y s t i c f i b r o s i s Tensilon

(Endophonium) testFor rapid detection of myasthenia gravisT o n o m e t e r T e s t u s e d t o m e a s u r e o c u l a r t e n s i o n a n d h e l p i n g i n d e t e c t i n g

early glaucoma N=12-20 mmHgT o r n i q u e t t e s t D o n e t o d e t e r m i n e p r e s e n c e o f p e t e c h i a e i n D e n g u e Hemorrhagic fever T Z A N K t e s t D e t e r m i n a t i o n f o r t h e p r e s e n c e o f h e r p e s s i m p l e x W e b e r t e s t E v a l u a t i o n o f b o n e c o n d u c t i o n . T u n i n g f o r k i s p l a c e d o n patients forehead or teethW e d a l s T e s t F o r t y p h o i d f e v e r d e t e r m i n a t i o n W e s t e r n b l o t t e s t A c o n f i r m a t o r y f o r A I D S Arterial Blood Gases T y p e C a u s e s M a n i f e s t a t i o n s M a n a g e m e n t RespiratoryAcidosis pH<7.35;PaCO2>45. COPD. Respiratory. Overdose. Atelectasis. Pulmonary edema. Aspiration. Weakness. Tachycardia. Decreased LOC. Headache. Assess VS. Monitor . ABG. CPT. TCDB RespiratoryAlkalosis pH>7.45;PaCO2<35. Hyperventilation. Anxiety. Pain. Ventilators. Lightheadedness. Ringing of theears. Tingling. Slowbreathing. Paper bag MetabolicAcidosis pH<7.35;HCO3,22. DKA. Diarrhea. ASA poisoning. Renal failure. Headache. N/V. Kussmaulrespiration. Dysrhythmias. Administer sodium bicarbonate. Monitor I/O. Use seizure precautions MetabolicAlkalosis PH>7.45;HCO3>26. Vomiting. NGT. Diuretics andAntacids. Tingling. Dizziness. Bradypnea. Monitor VS. I/O. ABG Remember : Respiratory Opposite; Metabolic Equal Facts : pH = 7.35 7.45PCO2 = 34 45 HCO3=22-26

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