Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN: 9781451194524
Author: Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher: JONES+BARTLETT PUBLISHERS, INC.
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Please answer the questions base on the information. Nurse note: Pt who was at home treating her right foot infection with VNA support. VNA recommended she return to the hospital because she was not caring for herself. The pt has not been able to get up and walk around including going to the bath. She complains of discomfort with swallowing and so she is not consistently taking her medication. She denies chest pain and shortness of breath. She is dysphagia, stage 2 plantar heel ulcer and at her butt. Has bruises on both hands, both legs is discolor and peeling. High fall risk and wear diapers. Pain is 7 on a scale of 0-10 at her coccyx wound. Normal bowl sounds and lungs sounds and heart sound. Cellulitis of right lower extremities. Cardiac diet and hypertension. Vitals at 800: Vitals at 11:20Am: Pulse: 99 HR: 72 SPO2: 99. BP: 144/97 BP: 135/82. R: 17 Temp: 95:4 HR:70 1. What is causing the abnormal lab values in YOUR PATIENT? 2. Are the abnormal lab values at the patient's baseline, or worse? 3. What labs that were drawn specifically correlate to your patient's medical diagnoses? 4. Trend labs, note which ones are getting better and why and which ones are getting worse and why. 5. What nursing interventions do you expect to complete to correct the abnormal lab value (s) in 'THIS patient?
Patient labs: 4-20-23 4-26-23:
Creatinine: 1.69.
1.07
BUN: 85.
53
Na:142.
145
K: 3.2.
Cl: 102.
CO2: 24.
Glucose: 81.
Ca:8.3.
WBC: 15.4.
Hgb: 17.
CPK: 82
Troponin: 28
Coags: 33.4/2.8
PLT: 280
MCV: 96.2
UA: 1.0
RBC: 2.
Egpr: 49
Anioncap: 12
AST: 23
Alt: 26
Abul: 4.6
4.2
112
21
90
8.0
12.9
4.23
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Transcribed Image Text:Patient labs: 4-20-23 4-26-23: Creatinine: 1.69. 1.07 BUN: 85. 53 Na:142. 145 K: 3.2. Cl: 102. CO2: 24. Glucose: 81. Ca:8.3. WBC: 15.4. Hgb: 17. CPK: 82 Troponin: 28 Coags: 33.4/2.8 PLT: 280 MCV: 96.2 UA: 1.0 RBC: 2. Egpr: 49 Anioncap: 12 AST: 23 Alt: 26 Abul: 4.6 4.2 112 21 90 8.0 12.9 4.23
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