Feb 16, 2015 nursing math laminated study guide barcharts publishing inc makers of quickstudy best places to find nursing school scholarships nursing degree info getting a nursing degree online is a great option if you dont have a campus nearby or you work long hours. Advising clinicians on laboratory test selection and results interpretation with a diagnostic management team michael laposata, md, phd edward and nancy fody professor of pathology vanderbilt university school of medicine pathologist in chief, vanderbilt university hospital. The site is produced by aacc, a global scientific and. Demonstrate the ability to interpret sample abg problems and case studies. Case study my doctor just told me i have stage 2 kidney disease. The cbc may be obtained to evaluate for anemia, infection, and thrombocytopenia. Lab work, urine samples and other tests may be given as you undergo diagnosis and treatment for renal failure.
Defining laboratory reference values and decision limits. Getting familiar with and interpreting laboratory values can be intimidating, particularly to new nurses. Clinical application and interpretation of lab values and abgs. At the end of this program, each participant will be able to. The most common tests include chemistry panels, hematology such as the complete blood count, and blood gases. Knowing the different normal lab values is an important step in making an informed clinical decision as a nurse. The clinician should be aware that norm are created for the healthy adult, and each patients lab value should be interpreted within the context of the patients current medical status. Widmanns clinical interpretation of laboratory tests clinical interpretation of lab tests widmanns subsequent edition. Laboratory tests interpretation by nurses reasearch publication continuing education 2001 all rights reserved. The interpretation of clinical laboratory test results michael schaer, dvm, diplomate acvim, acvecc university of florida, college of veterinary medicine with the advent of modern medical technology, the availability of hematological and serum biochemical data to the veterinary practitioner has become commonplace. Theres always the fear of messing things up and not being able to meet the patients health needs. Widmanns bridges the relevant physiology and pathophysiology over to the clinical tests.
Nearly every single shift youll have to note, record, and assess a whole lot of data generated by your patients. As mentioned earlier, outcomes analysis is now being used for the determination of reference values for certain laboratory analytes. Appendix d interpretation of common laboratory values. Define the normal ranges for the key chemistry values described in this course. Introduction pharmacists participate with the health care team and share responsibility for ensuring safe and effective drug therapy. Interpretation of the results of the differential must always be done with the total number of wbcs in mind. The purpose of this list is to identify the laboratory tests and their respective critical high and critical low values results. A critical value critical result is defined as a value result that represents a pathophysiological state at such variance with normal expected values as to be. The wbc differential evaluates the distribution and morphology of white blood cells. Common laboratory values laboratory tests are an integral part of every day practice within health care.
Laboratory values and interpretation laboratory values and. This can be the same patients earlier results, if this is possible, or be done by comparing to data from a normal population. Laboratory tests reference ranges 1,25dihydroxyvitamin d 1,25dihydroxycholecalciferol, serum see vitamin d metabolites 17hydroxyprogesterone, serum female, follicular. The use of tests in clinical biochemistry interpreting blood. Introduction a variety of laboratory tests are done in the neonatal period on a routine basis, many as pointofcare testing. It is of utmost importance that nurses are knowledgeable about the different procedures and their values and results to make informed clinical decisions. Widmanns clinical interpretation of laboratory tests. Multiple myeloma is a cancer of the immune system, in particular of the plasma cell a mature b. However, one study evaluation of laboratory methods for diagnosis of varicella cdc pdf external comparing a variety of specimens from the same patients vaccinated with one dose suggests that maculopapular lesions collected with proper technique can be highly reliable specimen types for detecting vzv. Identify normal chemistry values for the adult patient.
Values took on the mission of updating the laboratory values interpretation. Pdf on sep 1, 2005, nancy edwards and others published interpreting laboratory values in older adults. Define the normal range of laboratory values for components of a complete blood. Lab test are integral to patient care and depend on cooperation and support of ward staff for accurate and timely interpretation of the results. Cmp explained comprehensive metabolic panel cmp definition. Patient education lab values explained satellite healthcare. The clients current laboratory values are compared to the normal laboratory values, as above, in order to determine the physiological status of the client and to compare the current values during treatment to the laboratory values taken prior to a treatment. Comparing the clients laboratory values to normal laboratory values. Study normal lab values flashcards at proprofs normal lab values used in nursing school to aid in the study of nclex nursing board exam. If youre an np who could use some lab selection and interpretation guidance, consider purchasing these written references. Lab values for nurses ameritech college of healthcare. Interpreting chemistry and hematology for adult patients. Clinical biochemistry is a complex and wideranging field with a vast array of tests available to users.
Define the difference between the two key lab values related to renal function 4. Academy of acute care physical therapy american physical therapy association task force on lab values took on the mission of updating the laboratory values interpretation resource to better accommodate practitioners needs. No part of this material may be reprinted, reproduced, transmitted, stored in a retrieval. Lab work can help assess and diagnose patients with. Advising clinicians on laboratory test selection and results. Request pdf clinical interpretation of laboratory tests in hematology the laboratory services are very pleased to see this report. The test results will be used to assist the healthcare team your doctor, nurses, and others in evaluating your kidney function and. Patient education on blood, urine, and other lab tests. Academy of acute care physical therapy apta task force. Learn vocabulary, terms, and more with flashcards, games, and other study tools.
Com is presenting a series of courses on lab values. The listed reference ranges should be used when interpreting laboratory values. Lab values for this course are taken from the rush medical laboratory rush university. This course will take a closer look at these components. Laboratory values use this handy cheatsheet to help you monitor laboratory values related to fluid and electrolyte status. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Juretschke, phd, rncnpt, apnnnpbc, ccns founderpresident, nicu solutions, inc. Aphl hcv test result interpretation guide 1 laboratory markers of hcv infection currently available hepatitis c virus hcv antibody tests have a window period from exposure to hcv to detection. Introduction geriatric assessment health history physical assessment clinical presentation laboratory interpretation. Normal lab values complete blood count cbc test acronym meaning normal range values male normal range values female wbc number of white blood cells 3. Normal lab values urine cerebrospinal fluid minimum volume 0.
This information is crucial to their health and care, and knowing how to record, manage, and interpret this data will be a. Jan 15, 2017 lab results interpretation for pharmacist a. Describe how creatinine clearance values in combination with bun and creatinine outline the. Lab values contains an easy to read and follow catalog of the most essential labs for nurses. A previously healthy 4 year old boy is brought to an urgent care center by his mother for difficulty breathing for one day. Hopefully the information enclosed will be of value to all staff. Interpretation of clinical laboratory tests date dka. Blood cell count 25oh vitamin d blood lead basic lab work interpretation. Jun 24, 1989 full text is available as a scanned copy of the original print version. In this first part of the series, we will cover common chemistry values and renal function studies. Clinical interpretation of laboratory tests in hematology request. Laboratory tests, interpretation, and use of resources. Links to pubmed are also available for selected references. The clinical and laboratory standards institute approved guidelines for determination of reference intervals provide more detailed guidance regarding the application of various calculation methods 7.
The values of all the laboratory tests have no meaning without comparison to a reference that allows a judgment and therefore an action. Laboratory values and interpretation a nurses ultimate guide laboratory values provide healthcare professionals with essential clues about the patients condition and the medical interventions needed for his full recovery. Basic skills in interpreting laboratory data, 6th ed. Different serologic markers or combinations of markers are used to identify different phases of hbv. Laboratory test that counts actual numbers of different types of wbcs. Pdf interpreting laboratory values in older adults. Laboratory tests reference ranges 1,25dihydroxyvitamin d 1,25dihydroxycholecalciferol, serum see vitamin d metabolites 17hydroxyprogesterone, serum. The overuse of laboratory testing has become a serious risk to the sustainability of the canadian health care system, with estimates suggesting that 10% to 50% of laboratory testing might be unnecessary. An lpn should understand the rationale for conducting specific diagnostic and laboratory tests when delivering care, as well as the implications of the results of those tests. Lowdensity lipoprotein ldl less than or equal to mgdl 3.
Three days prior he had developed a runny nose, cough, and. The charts are followed by a brief description for each individual value including. V alues are reference values from texas children s hospital clinical laboratory, current as of august 2011. To assist nurses, here are the common laboratory values listed in an organized and easytounderstand table. This book should be of help to nursing in understanding some of the more common tests which are conducted. The learner will be able to analyze lab values and determine if it is safe to treat or not based on information gathered. Introduction a variety of laboratory tests are done in the neonatal period on a routine basis, many as pointof. Laboratory values see inside back cover for continuation. Diagnostic and laboratory tests are tools that provide invaluable insights and information about the patient. Appendix c survey procedures and interpretive guidelines for laboratories and laboratory services. Jan 11, 2018 getting familiar with and interpreting laboratory values can be intimidating, particularly to new nurses. Lab values and their meanings forward the laboratory services are very pleased to see this report. Laboratory lab data is among the information that pharmacists may consider in determining the safety and effectiveness of patients treatment regimens. Reference interval interpretation of a laboratory result requires that the result can be related to a relevant reference value.
Learning objectives after successful completion of this course, you will be able to. Normal lab values for white blood cell count and wbc differential. If it is known that the test was ordered but there is no report in the record, code 997. Thus, any given result should be interpreted based on the reference value of the laboratory in which the test was done.
The task force consisted of physical therapists from across the country in various acute care settings. Neonatal nurse practitioner the ronald mcdonald childrens hospital at loyola university medical center objectives at the end of this lecture, the participant will be able to. Additionally, after completing this module, you will be able to discuss reasons why these common lab values may be either elevated or decreased. The program was run as a series of identical 4hour small group sessions to facilitate discussion and laboratory tours.
Laboratory tests interpretation nurses learning network. Service provides accurate and timely results using the right tests at the right time, with increased focus on quality and quality systems increased automation and specialisation. Interpretation of hepatitis b serologic test results. Nurses are often tasked of patient preparation and specimen collection during these diagnostic procedures. We checked out several written lab interpretation resources, and selected those most practical for practicing nurse practitioners. Name one reason for an increase or decrease in the key chemistries. Differentiate causes, clinical manifestations, lab values, and treatment modalities between the various acidbase abnormalities. Using lab values to support medication management welcome we will begin shortly.
Basic hemodynamics for the cath lab and icu ailin barseghian elfarra, md, facc. Get a printable copy pdf file of the complete article 460k, or click on a page image below to browse page by page. The following chart gives the normal values for each type of wbc. How to read and interpret a lab report what you dont know can hurt you. Chickenpox interpreting laboratory tests varicella cdc. Common laboratory values cheat sheet diagnostic tests are crucial in any aspect of clinical practice since they assist clinicians in establishing and determining the particular condition of the patient.
Lab reference ranges acp internal medicine meeting. Although the reports we receive often indicate high or low values, understanding the true meaning of these values in the context of the patients condition, history and other factors is critical to safe care of the patient. Familiarizing and interpreting laboratory values for nurses dont always have to feel that way. Widmanns isnt just page after page of lab tests with normal and abnormal values i recommend wallachs for that. Pediatrics population lab values range is not included above. Evaluation of labs by nursing staff is a critical function. Remember, normal values may vary according to techniques used in different laboratories. Interpretation of hepatitis b serologic test results hepatitis b serologic testing involves measurement of several hepatitis b virus hbvspeci. My doctor just told me i have stage 3 kidney disease. The commonest reference in the laboratory are the reference. Download a printerfriendly version of the chart here. All practitioners are urged to consult the normal laboratory values for their local laboratory, as these may differ from those listed below. Appendix b selected normal pediatric laboratory values 1449 growth hormone s2 after infancy fasting specimen. Low density lipoprotein ldl less than or equal to mgdl 3.
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