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19 Cards in this Set

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Chapter 34
Diagnostic Testing
Complete Blood Count
CBC
Most frequently ordered basic tests.
Hemoglobin
hematocrit
RBC count
Platelet count
WBC differentials
Normal Hemoglobin function and Values
Male
Female
Consists of iron and protein and carries O2 throughout the body.
Male 13.8-18 g/dl
Female 12-16 g/dl
Hemoatocrit
Measures the percentage of red blood cells in the total blood volume
Serum electrolytes
Screening test for electrolytes and acid-base imbalances.
Normal function and values for
Na+
K+
Fluid balance & Nerve impulses
135-145 mEq/L

Nerve impulses
3.5-5.0 mEq/L
Serum Osmolalit
A measure of the solute concentration of the blood. Particles measured include sodium, glucose, urea
Therapeutic drug monitoring
conducted when a client is taking a med with a narrow therapeutic range. Ex: digoxin, theophylline, aminoglycosides.
Peak and Trough levels detected to keep within therapeutic range
BUN and Creatinine
Blood levels are routinely used to assess kidney function
Arterial blood gases
Drawn by specialty nurses
Blood chemistry tests carried out on the serum
Liver functin
Cardiac markers
Lipoprotein profile
Glucose
Hemoglobin
Hormones
Metabolic screening rational and tests
Used to screen for congenital metabolic conditions
Phenylketonuria
Congenital hypothyroidism
Sickle cell anemia
Galactosemia`
Required to be performed in all US states
Nursing responsibilities for specimen collection
Explain purpose for collection
Provide comfort, privacy, safety
Follow correct procedure
Note relevant info on lab slip
Transport promptly
Report abnormal findings to PCP timely
Stool specimine tests
Used to determine
Occult blood-guaiac test
Dietary products, digestive secretions
Parasites, Bacteria, Viruses
Urine specimens
Clean voided for routine analysis
Clean-catch for urine culture
Timed urine for renal function, glucose metabolism, urine constituents
Sputum specimens
Mucous secretions from the lungs, bronchi, and trachea
To id microorganisms for C&S
Cytology of cells-cancer and TB (acid fast bacillus)
Assess effectiveness of therapy
Throat Cultures
Collected from mucosa of oropharynx and tonsillar region
C&S of disease causing microorganisms
Aspiration
Removal of a fluid that has abnormally collected
Biopsy
Removal and examination of tissue