Question

Describe the purpose, normal range, significance of results, and nursing responsibilities for these hematological diagnostic and clotting studies: (hemoglobin, Hematocrit, WBC, Total RBC, Platelet count, activated clotting time (ACT), PT, and INR, Lipid profile (cholesterol, LDL, HDL), BUN and Creatinine (How abnormal values relate to HTN and Heart failure), Troponin, BNP Specific Tests Normal Significance of Ranges Nursing Responsibilities Results Hemoglobin; Males 14- Low carries 02 to 18 g/dlb cells and co2Females; loss, lack of away. levels; caused anemia, blood 12-16 g/dl |production, kidney disease, and Lupus or leukemia. Elevated; caused by polycythemia, shock, dehydration, burns & COPD Cholesterol /Desirable Lipid Panel;less than buildup of plaque in arteries Hematocrit 200; High; 240-+ WBC RBC Platelet Activated (ACT) PT Clotting Time INR CK-MB releases Indicative of MI Explain purpose of serial sampling done with troponin and ECG

Answer 1

Answer :

1)Nursing responsibilities :

Nurse should follow the all rights of drug administration

• Nurse should educate the people who are having low hemoglobin levels :
• educate the patient to take iron rich diet .
• Advice the patient to take iron Tablets with empty stomach and after 2hours of meals .
• Check For warm infestations .
• Advice to take vit.C For better absorption of iron .
• Advice the patient to come For follow ups to check haemoglobin levels

2)cholesterol :

Significance of results :

Low levels : low level of cholesterol is usually helpful but very low levels of LDL may associated with increased risk of cancer , hemorrhagic stroke , depression ,anxiety ,pre term and low birth weight .

High blood cholesterol level increases risk of coronary artery disease, stroke and other heart problems .

Nurses responsibilities :

• Nurse should advice the people to take low fat diet .
• Nurse should advice the patients to do exercises and physical activity .
• Patient are adviced For regular checkups .
• Patients adviced For avood saturated fats .

3) hematocrit : hematocrit is the ratio of the volume of red cells to the volume of whole blood

The normal range For hematocrit is different between the sexes and is approximately 45%to 52%For men and 37% to 48%For women .

Significance of results :

Low levels : sickle cell anemia ,enlarged spleen ,decreased production of red blood cells (bone marrow suppression, cancer,drugs ),nutritional problems (low iron ,B12, folate and malnutrition.

High levels : polycythemia ,dehydration .

4) WBC :

Normal ranges : normal range is usually between 4,000 to 11,000 per micro liter of blood

Significance of results :

Low levels : viral infections , leukemia ,lymphoma ,bacterial infections etc.

High levels :infection, stress , inflammation , trauma ,allergy , leukemia ,immune system disorders

Nurses responsibilities :

• Nurse should advice the patients to avoid high fat , calorie ,sugar and salt .
• Advixe to take omega 3fatty acids .
• Advice to take antioxidants , vit .C.
• Regular follow ups
• Medications .