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Diagnostic and Laboratory Examination

The document summarizes the procedure and results of a complete blood count test. Blood was drawn from the patient's vein and analyzed to check for abnormalities. The results showed the patient had decreased hemoglobin and hematocrit levels, indicating anemia, likely due to kidney problems. A follow up blood test showed further decreased levels, suggesting active uterine bleeding. The document also describes blood typing and cross matching procedures to determine blood compatibility for transfusions. The patient's blood type was found to be O positive.

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86 views2 pages

Diagnostic and Laboratory Examination

The document summarizes the procedure and results of a complete blood count test. Blood was drawn from the patient's vein and analyzed to check for abnormalities. The results showed the patient had decreased hemoglobin and hematocrit levels, indicating anemia, likely due to kidney problems. A follow up blood test showed further decreased levels, suggesting active uterine bleeding. The document also describes blood typing and cross matching procedures to determine blood compatibility for transfusions. The patient's blood type was found to be O positive.

Uploaded by

bobtaguba
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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DIAGNOSTIC AND LABORATORY EXAMINATION

COMPLETE BLOOD COUNT

Purpose:
 This test was done to evaluate overall health and detect a wide range of disorders, including
anemia or presence of infection.

Procedure:
 A venipuncture site will be chosen on where to get the blood specimen.
 A tourniquet is applied around the arm.
 The skin overlying the vein will be cleaned using cotton and an antiseptic.
 A needle is inserted through the area of cleansed skin into the vein below where the tourniquet is
applied.
 Blood is pulled from the vein via the needle by gently pulling the plunger of the syringe.
 After that, tourniquet is removed to facilitate venous return.
 A dry cotton ball is taped in the insertion site upon the removal of the needle.
 The blood sample is then sent to the laboratory for analysis.

Nursing Responsibilities:

 Explain the procedure to the patient and its rationale.


 Use aseptic technique by cleansing the venipuncture site with cotton and alcohol.
 Inform patient what he/she may feel.
 There are no food, fluid, or medication restrictions unless by medical direction.

Results:
COMPLETE BLOOD COUNT (07-02-17)

EXAMINATION RESULT NORMAL VALUES ANALYSIS


Hemoglobin 10.6 g/dL 14.0 – 18.0 g/dL Decreased Due to
decreased erythropoietin
production by the kidney
Hematocrit 33.6 % 40.0 – 54.0 % Decreased Due to
decreased erythropoietin
production by the kidney
Platelet Count 368 140 – 440 x10/L Normal
WBC 10.49% 4.3 – 10 x10/L Normal
Neutrophils 64.0% 51 - 67% Normal
Lymphocytes 22.4% 25 - 33% Normal
Monocytes 11.9% 2.0 – 6.0% Increased as a
compensatory
mechanism due to
presence of increased
toxins in the blood
Eosinophils 1.5% 1.0 – 4.0% Normal
Basophils 0.2% 0.0 – 1.0%  Normal

COMPLETE BLOOD COUNT (07-03-17)

EXAMINATION RESULT NORMAL VALUES ANALYSIS


Hemoglobin 8.9 g/dL 14.0 – 18.0 g/dL Decreased Due to active
uterine bleeding
Hematocrit 28.5 % 40.0 – 54.0 % Decreased Due to
hemorrhage/RBC
destruction
BLOOD TYPING AND CROSS MATCHING
Purpose:
To check compatibility of the donor and the patient before blood transfusion, in case severe blood loss
during surgery.

Blood is often grouped according to the ABO blood typing system. This method breaks blood types down
into four categories:
 Type A
 Type B
 Type AB
 Type O
PROCEDURES:
 Blood is drawn from a vein, usually from the inside of the elbow or the antecubital area.
 The puncture site is cleaned with an antiseptic solution.
 An elastic band is placed around the upper arm to apply pressure, which causes the vein to swell
with blood.
 A needle is inserted into the vein, and the blood is collected into a tube.
 During the procedure, the elastic band is removed to restore circulation.
 Once the blood has been collected, the needle is removed, and a band-aid or gauze is applied.
NURSING RESPONSIBILITIES:
• Explain the procedure to the patient and its rationale.
• Use aseptic technique by cleansing the venipuncture site with cotton and alcohol.
• Evaluate the venipuncture site and pressure if there is continuous bleeding.
• Report any result to the requesting Health care provider, who will discuss the results with the
patient.
Result:
Blood Typing (07-03-17)
 Blood type : O positive

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