Patients Name: N.

P Age/sex: 65 F Ward room: ER T Doctor:

Sample No.: 082 Lab: Accession: 3576 Sample type: Serum Sample Entered: Feb 04, 2012, 23:44

Test Name Blood Urea Nitrogen Creatinine

Result 5.0 mmol/br 98 mmol/L 131 mmol/L

Sodium (Na)

Normal Values 2.50 6.1 mmol/L 53.00 115.00 mmol/L 135 148 mmol/L

Findings Normal Normal

Interpretation

Low

The result is below the normal range that indicates that decrease in sodium level means that the patient is hyponatremia. As manifested by our patient nausea and vomiting. Book Reference: Essentials of Pathophysiology Concept of Altered Health States by Carol Mattson porth Page: 752 Daviss Comprehensive Handbook of Laboratory and Diagnostic test with nursing implication. 2nd Edition. By Anne M Van Leeuwen Page: 1186

Potassium (K)

3.5 mmoL/L

3.60 5.20 mmoL/L

Low

The result is below the normal range. The decrease in potassium indicates hypokalemia with manifestation of our patient which is muscle weakness and fatigue. Book Reference: Essentials of Pathophysiology Concept of Altered Health States by Carol Mattson porth Page: 760

Patients Name: N.P Age/sex: 65 F Ward room: 5E Doctor: Test Norma Name l Values Potassiu m (K) Date: Feb.9 2012 3.60 5.20 mmol/ L

Sample No.: 098 Lab: Accession: Sample type: Serum Result Finding s Interpretation

3.5 mmol/ L

Low

Feb.9 findings indicate that the potassium level of the patient is Low. Our patient hypertension The decrease in potassium indicates hypokalemia with the manifestation of muscle weakness and fatigue But it was corrected on the Feb 18 and 21 Laboratory.

Date: Feb.18 2012

3.60 mmol/ L

Normal

Date: Feb.21 2012

4.1 mmol/ L

Normal

Book Reference: Essentials of Pathophysiology Concept of Altered Health States by Carol Mattson porth Page: 760 Nursing Implication of Laboratory Tests 2nd Edition by: Mary Brambilla McFarland R.N., M.S.N page.: 1070

Sodium (Na)

The findings of the Laboratory examination done last Feb.18 and 21 the Sodium level of the patient is still Low which indicates hyponatremia. As manifested by her Nausea and Vomiting. 135 148 mmol/ L 110m mol/L Low Book Reference: Essentials of Pathophysiology Concept of Altered Health States by Carol Mattson porth Page:752 127 mmol/ L Low Daviss Comprehensive Handbook of Laboratory and Diagnostic test with nursing implication. 2nd Edition. By Anne M Van Leeuwen Page.: 1186

Date: Feb.18 2012

Date: Feb.21 2012

Patients Name: N.P Requesting Doctor: Out-Patient Location: Date Reported: 02/05/12 REMARKS: 02/05/1 EAMC DR. LINGATING IMMUNOLOGY: Troponin I : 2.82 ng/dL Threshold Value < 0.16 ng/dl

Age: 65 Date printed: 02/05/12

M.R.N: 99-23-50 Lab. Number: 120360017 Sex: Female

Interpretation Troponin I Negative

>0.16 ng/dl

Troponin I Positive

Remarks It is recommended for any patient presenting a concentration of troponin I <0.16 ng/ml associated to a negative ECG and a Chest pain result on a second specimen collected 4 to 6 hours later to exclude AMI. Myocardial Necrosis has been detected.

COMMENT: Threshold value of Troponin I based on the rules of the consensus committee of the European Society of Cardiology (ESC) and the American College of Cardiology (ACC). INTERPRETATION: An increase in Troponin may indicate Acute Myocardial Infarct or an unstable angina pectoris in our patient. Book Reference: Daviss Comprehensive Handbook of Laboratory and Diagnostic test with nursing implication. 2nd Edition.By Anne M Van Leeuwen, Todd R. Kranpitz, and Lynette Smith.

Patients Name: N.P ACC NO.: 3576

Age/Sex: 65 F Sample No.: 082 COAGULATION REPORT

ROOM: ER Date: 04-feb-12

Test Normal Values Name Prothrombin time PT 12.9-15.7 secs. % Activity % INR Control Activated Partial Prothrombin Time APTT 26 31 secs Control Secs

2/4

Findings Interpretation

13.1 Normal 117 0.91 14.2 Normal 27.6 Normal 28.0 Normal

Book Reference: Daviss Comprehensive Handbook of Laboratory and Diagnostic test with nursing implication. 2nd Edition.By Anne M Van Leeuwen, Todd R. Kranpitz, and Lynette Smith.

Patients Name: Padullon, Natividad ACC. NO.: 3576

Age/Sex: 65 F SAMPLE NO.:000000082

Room: ER-T DATE: 04 Feb -12

Test Name WBC

Normal Values Adult: 5-10 x10^9/L Newborn: 9-20 x10^9/L

HEMATOLOGY Result Findings 12.4 High

Interpretation The result is above the normal range which indicates that the patient immune system is reacting to fight against inflammatory response of the body because of the obstruction in the blood vessels. Book Reference: Nursing Implication of Laboratory Tests 2nd Edition by: Mary Brambilla McFarland R.N., M.S.N page.: 26 The result is below the normal range which indicates that the patient has iron deficiency/ anemia as manifested by our patient: pale mucosa, pale conjunctiva and absence of capillary refill. (from P.A.) Book Reference: Daviss Comprehensive Handbook of Laboratory and Diagnostic test with nursing implication. 2nd Edition. By Anne M Van Leeuwen Page: 734 The result is below the normal range which indicates that the patient decrease in hematocrit is due to anemia as manifested by our patient: pale mucosa, pale conjunctiva and absence of capillary refill. (from P.A) Book Reference: Daviss Comprehensive Handbook of

HEMOGLOBIN

M: 140-170gm/L F: 120-140gm/L Newborn: 187201gm/L

102

Low

HEMATOCRIT

M:0.40-0.50 F:0.38-0.48 Newborn:0.490.55

0.31

Low

Laboratory and Diagnostic test with nursing implication. 2nd Edition. By Anne M Van Leeuwen Page: 728 Differential Count Neutrophils

Adult: 0.45 0.65% Newborn: 0.40 0.50%

0.86

High

The result is above the normal range. Our Patient increase in neutrophils indicates inflammation characterized by the vasodilation of blood vessel. Book Reference: Medical Physiology by Guyton Page: 434 The result is below the normal range. Lymphocyte plays as a major role in the bodys natural defense system that makes our patient immune system became weak and decrease in Lymphocyte also indicates that there is malnutrition in our patient. Book Reference: Daviss Comprehensive Handbook of Laboratory and Diagnostic test with nursing implication. 2nd Edition. By Anne M Van Leeuwen page: 1377

Lymphocyte

Adult: 0.250.50% Newborn: 0.310.60%

0.10

Low

Monocytes Platelet MCV MCH MCHC RDW

0.02 0.06 % 150 450 x10^9/L 80 100 fL 27 31 pg 320 360 g/L 11.6 14.6 %

0.04 342 86.9 28.8 331 14.0

Normal Normal Normal Normal Normal Normal

Patients Name: Mrs. N.P ACC NO.: 3576 Components Cholesterol Normal Values 3.9 6.7

Age: 65 F ROOM: ER Sample No.: 082 Date: 04-feb-12 LIPID PROFILE Result Findings Analysis 7.2 High The result is above normal range. The increase in Cholesterol may indicate ischemia on the myocardium. (from pathophysiology) Book Reference: Daviss comprehensive Handbook of Laboratory tests with Nursing implications 2nd Edition by Anne Van Leewun, MA, BS, MT Page: 380

HDL Trigeminal LDL

> = 1.6 0.5 1.6 < = 3.9

1.4 0.9 4.3

Normal Normal High

The result is above normal range. The increase in LDL indicates atherosclerosis. Book Reference: Daviss comprehensive Handbook of Laboratory tests with Nursing implications 2nd Edition by Anne Van Leewun, MA, BS, MT Page: 376