Laboratory

Date of Dx. Exam : Aug 22, 2017

Reference: Labtest.pdf

8| P a g e
Procedure Result Normal Values Clinical Significance
HGB 118 140-180 g/L A Low hemoglobin level indicates
anemia. Estimates of Hgb in each
RBC are moderately important
when determining the total
blood Hgb. However,
hemoglobin findings are even
more dependent upon the total
number of RBC's. In other words,
for the diagnosis of anemia, the
number of RBC's is as important
as the hemoglobin level.
HCT 0.35 0.400-0.540 If the Hct is abnormal, then the
RBC count is possibly abnormal.
If the RBC count turns out to be
normal, then the average size of
the RBC is probably too small.
Shock, hemorrhage, dehydration,
or excessive IV fluid
administration can reduce the
Hct.
Nursing Implications
1. Explain test procedure.
Explain that slight
discomfort may be felt
when the skin is punctured.
2. Encourage to avoid stress if
possible because altered
physiologic status
influences and changes
normal hematologic values.
3. Explain that fasting is not
necessary. However, fatty
meals may alter some test
results as a result of
lipidemia.
4. Apply manual pressure and
dressings over puncture site
on removal of dinner.
5. Monitor the puncture site
for oozing or hematoma
formation.
6. Instruct to resume normal
activities and diet.
RBC count 4.1 4.60-6.00 X 1 This test can also give an indirect
esti-mate of the hemoglobin
levels in the blood. RBC's are
actually "Red Blood Corpuscles,"
(non-nucleated cells). The term
corpuscle indicates that it is a
mature Red Blood Cell. Once the
immature cell has matured, it is
then, and only then, capable of
carrying oxygen. It is then also
not "technically" a cell anymore.
Once it has matured, it loses its
nucleus and can no longer be
properly termed a cell. It would
be called a corpuscle. However,
everyone still refers to them as
RBC's (cells). The source of the
specimen is whole blood,
capillary, or venous blood.
1. Explain test procedure.
Explain that slight
discomfort may be felt
when the skin is
punctured.
2. Encourage to avoid stress if
possible because altered
physiologic status
influences and changes
normal hematologic values.
3. Explain that fasting is not
necessary. However, fatty
meals may alter some test
results as a result of
lipidemia.
4. Apply manual pressure and
dressings over puncture site
on removal of dinner.
5. Monitor the puncture site
for oozing or hematoma
formation.
6. Instruct to resume normal
activities and diet.
Lymphocytes 18 20.0-40.0% Increased by: Infection;
gonorrhea, osteomyelitis, otitis
media, chickenpox, herpes,
others Ischemic necrosis due to
MI, burns, carcinoma Metabolic
Disorders; diabetic acidosis,
eclampsia, uremia, thyrotoxicosis
Stress Response; due to acute
hemorrhage, surgery, emotional
distress, others Inflammatory
disease; rheumatic fever, acute
gout, vasculitis, myositis
Decreased by: Bone marrow
depression; due to radiation or
cytotoxic drugs Infections; such
as typhoid, hepatitis, influenza,
measles, mumps, rubella
hypersplenism; hepatic disease,
storage disease Collagen vascular
disease; systemic lupus
erythematosus Deficiency of;
folic acid or vitamin B12
1. Explain test procedure.
Explain that slight
discomfort may be felt
when the skin is
punctured.
2. Encourage to avoid stress if
possible because altered
physiologic status
influences and changes
normal hematologic values.
3. Explain that fasting is not
necessary. However, fatty
meals may alter some test
results as a result of
lipidemia.
4. Apply manual pressure and
dressings over puncture site
on removal of dinner.
5. Monitor the puncture site
for oozing or hematoma
formation.
6. Instruct to resume normal
activities and diet.