College of Nursing: DIOSANA, Janine V. - 2018 - 10241 - Group C

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University of the Philippines Manila

The Health Sciences Center


COLLEGE OF NURSING

LABORATORY STUDY

GENERAL INFORMATION
Name of Client: B.A.
Age: 59 yrs. old Sex: Male
Unit / Ward: Ward 02 Bed No: 20
Home Address: 5th Avenue, Caloocan City
Medical diagnosis (if applicable): Inguinal hernia recurrence

I. Complete Blood Count Test


Complete Blood Count Normal Values [10/13/19] SIGNIFICANCE

WBC 4.5-11.0 x10^9/L 7.60 Indication:


RBC 4.2-5.4 x10^12/L 5.00 Complete Blood Count Test is usually a standard to set references for the current situation
HGB 135-180 g/L 151 of the patient. The extensively of the test allows for an initial analysis of the overall state of
the patient. For this reason, a CBC was drawn prior to surgery to establish a baseline" for
HCT 0.40-0.54 0.45
comparison with labs drawn after surgery. This way, it will be more obvious if there is a large
MCV 80-96 fL 90.6 change after surgery, or if something very serious like bleeding is happening during the
MCH 27-31 pg 30.2 hours and days after surgery.
MCHC 320-360g/L 333
RDW 11-16 13.2 Interpretation:
Retics The patient’s lab results are all within normal values.
Platelet 150-450 x10^9/L 226
Implication:
Neutrophil 0.5-0.7 0.5
Normal values indicates normal amount of red blood cells and negative sign of infection.
Lymphocyte 0.2-0.5 0.3
Monocyte 0.02-0.09 0.09
Eosinophil 0.00-0.06 0.09
Basophil 0.00-0.02 0.02
Stab - -

DIOSANA, Janine V. | 2018 – 10241 | Group C 1


Blast - -
Promyelocyte - -
Renal cyst - -
Table 1. CBC
II. Coagulation Tests
Exam Name Normal Values 10/13/19 SIGNIFICANCE
PT - Reference sec 12.6 Indication:
PT - Time 11.4 – 13.9 13.4 PT or Prothrombin Time Blood Test is done to evaluate the blood for its ability to clot. It is
Pt% % 91 done before surgery to evaluate how likely the patient is to have a bleeding or clotting
PT - INR 1.06 problem during or after surgery.
APTT - Reference sec 30.38
APPT 25.8-35.0 sec 29 APPT or Activated Partial Thromboplastin Time Blood Test is performed primarily to detect
the presence of a clotting disorder.

The INR or International Normalized Ratio is used to make sure the results from a PT test is
the same at one lab as it is at another lab.

Interpretation:
The patient’s lab results are all within normal values.

Implication:
The patient’s blood can clot in an average amount of time.

Table 2. Coagulation Tests

III. Electrolyte Serum Test


Serum Analysis Normal Values 10/13/19 SIGNIFICANCE
Creatinine 58-110 umol/L 70 Indication:
Egfr Electrolyte serum test determines the level of electrolytes in your blood. These chemicals
BUN 3.2-7.1 mmol/L 3.5 help regulate heart rhythms and other body functions.
AST 17-59 U/L -
ALT <50 IU/L - Interpretation:
Albumin 35-50 g/L 3.5 The patient’s lab results are all within normal values.
Sodium 137-145 mmol/L 139
Potassium 3.5-5.1 mmol/L 3.6 Implication:

DIOSANA, Janine V. | 2018 – 10241 | Group C 2


Chloride 98-107 mmol/L 103 Normal electrolyte level indicates balanced electrolytes in the body.
Calcium 2.10-2.55 mmol/L 2.16
Magnesium 0.7-1.00 mmol/L 0.86
Table 3. Serum electrolytes

Reference:
Anthony, K. (2019, September 19). Red Cell Distribution Width (RDW) Test. Retrieved October 16, 2019, from https://www.healthline.com/health/rdw-blood-test.
Cafasso, J., & Gotter, A. (2017, April 6). Red Blood Cell Count (RBC). Retrieved October 15, 2019, from https://www.healthline.com/health/rbc-count.
Cleveland Clinic. (2018, July 23). Adult Jaundice. Retrieved October 16, 2019, from https://my.clevelandclinic.org/health/diseases/15367-adult-jaundice.
Dugdale, D. C. (2019, April 29). ALP - blood test: MedlinePlus Medical Encyclopedia. Retrieved October 16, 2019, from https://medlineplus.gov/ency/article/003470.htm.
Healthwise. (2018, June 25). Culture and Sensitivity. Retrieved October 16, 2019, from https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=stc123799&lang=en-
ca.
Holm, G. (2017, October 9). Partial Thromboplastin Time (PTT) Test. Retrieved October 16, 2019, from https://www.healthline.com/health/partial-thromboplastin-time-ptt.
John Hopkins Rheumatology Department. (n.d.). Coombs' Test. Retrieved October 16, 2019, from https://www.hopkinslupus.org/lupus-tests/clinical-tests/coombs-test/

DIOSANA, Janine V. | 2018 – 10241 | Group C 3

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