Portable Diagnostic Tests is a compact powerhouse of medical info on specimen assortment and diagnostic try interpretation. Our nurse-experts have taken care of during the mass of scientific details and centred in on what nurses want so much in day-by-day perform. This need-to-know details is gifted in an easy-to-use, concise structure for time-starved nurses, with bullets, lists, and countless numbers of illustrations, charts, diagrams, and photographs.
The first part supplies step by step directions on present specimen assortment methods—information often came upon basically in process manuals. the second one part basically explains enormous quantities of diagnostic assessments, together with education, basic values, irregular values, easy-to-identify main issue values, and nursing considerations.
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6 to 1 g/dl (SI, 6 to 10 g/L) practitioner. qxd 22/8/08 13:04PM Page 39 A LV E O L A R - T O - A R T E R I A L O X Y G E N G R A D I E N T ◆ 39 Nursing considerations Nursing implications ◆ Report abnormal findings to the practitioner. ◆ Educate the patient about his disease and possible treatment options. ◆ Prepare to administer antibiotics, as appropriate. Decreased levels Before the test ◆ Confirm the patient’s identity using two patient identifiers according to facility policy. ◆ Inform the patient that the test requires a venipuncture.
Posteroanterior, oblique, and anteroposterior radiographs are taken. Ureteral peristalsis is observed to evaluate obstruction. ◆ A percutaneous nephrostomy tube is inserted if drainage is needed because of increased renal pressure, dilation, or intrarenal reflux. If drainage isn’t needed, the catheter is withdrawn and a sterile dressing is applied. Interfering factors ◆ Recent barium procedures or stool or gas in the bowel (possible poor imaging) ◆ Obesity (may make needle placement difficult) Precautions ◆ Antegrade pyelography is contra- indicated in patients with bleeding disorders and in pregnant patients, unless the benefits outweigh the risks to the fetus.
5 g/dl (SI, 29 to 55 g/L) Abnormal findings Elevated levels (hyperalbuminemia) ◆ Dehydration ◆ Severe vomiting ◆ Severe diarrhea Nursing implications ◆ Report abnormal findings to the practitioner. V. fluids to restore volume and electrolytes. ◆ Educate the patient about his disease and treatment options. qxd 22/8/08 ◆ 32 13:04PM Page 32 ALDOSTE RON E (SE R U M, U R I N E) Decreased levels (hypoalbuminemia) ◆ ◆ ◆ ◆ ◆ Cirrhosis Acute liver failure Severe burns Severe malnutrition Ulcerative colitis cluding anabolic steroids, androgens, growth hormones, and insulin.