Davis's Comprehensive Handbook of Laboratory and Diagnostic by Anne M. Van Leeuwen, Marijke Vroomen-Durning, Debra J.

By Anne M. Van Leeuwen, Marijke Vroomen-Durning, Debra J. Poelhuis

This is the data nurses and nursing scholars want to know approximately laboratory and diagnostic checks! This nursing-focused, easy-to-read instruction manual offers the entire details you must know how checks paintings, interpret their effects, and supply caliber sufferer care, together with assessing, tracking, and educating at each degree of care—pre-test, intra-test, and post-test. assessments and strategies are indexed in alphabetical order through their entire identify for fast reference. The built-in index permits quickly searches through abbreviation, synonym, disease/disorder, specimen variety, or try out class. Plus, a physique platforms Appendix incorporates a checklist of universal laboratory and diagnostic checks for every physique procedure in addition to nutrition-related lab checks. Monographs every one written in particular to target what you must do sooner than, in the course of, and after each one laboratory and diagnostic try out. designated insurance of laboratory and diagnostic exams for subspecialties, resembling maternity, healing drug tracking, food and sensory. Reference levels expressed in either traditional and SI devices (with the SI unit conversion issue) contain age and gender-specific diversifications while indicated and basic diversifications because of cultural issues.

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Prompt and proper specimen processing, storage, and analysis are important to achieve accurate results. Specimens should always be transported to the laboratory as quickly as possible after collection. PRETEST: ated and unoxygenated blood) • Arterial-venous shunts (due to mixing oxygenated and unoxygenated blood) • Bronchospasm • Chronic obstructive pulmonary disease • Congenital cardiac septal defects (due to mixing oxygenated and unoxygenated blood) • Underventilated alveoli (mucus plugs) • Pneumothorax • Pulmonary edema (due to thickened edematous alveoli) • Pulmonary embolus • Pulmonary fibrosis (due to thickened edematous alveoli) CRITICAL VALUES: N/A INTERFERING FACTORS: • Specimens should be collected before administration of oxygen therapy or antihistamines.

Review the procedure with the patient. Inform the patient that specimen collection takes approximately 5 to 10 min. Address concerns about pain and explain that there may be some discomfort during the venipuncture. ➧ Sensitivity to social and cultural issues, as well as concern for modesty, is important in providing psychological support before, during, and after the procedure. ➧ There are no food, fluid, or medication restrictions unless by medical direction. INTRATEST: ➧ If the patient has a history of allergic reaction to latex, avoid the use of equipment containing latex.

Promptly transport the specimen to the laboratory for processing and analysis. POST-TEST: ➧ A written report of the results will be sent to the requesting health care provider (HCP), who will discuss the results with the patient. ➧ Instruct the patient to resume usual diet, fluids, medications, or activity, as directed by the HCP. ➧ Nutritional considerations: Increased ALT levels may be associated with liver disease. Dietary recommendations 49248S_Monograph_p1-50 12/17/08 11:44 AM Page 15 ALBUMIN AND ALBUMIN/GLOBULIN RATIO may be indicated and vary depending on the severity of the condition.

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