King Saud university NURS 222

College of Nursing
Medical Surgical Department ADULT HEALTH NURSING 1
1st Semester AY 1442

CLINICAL LABORATORY VALUES ANALYSIS

(Group work)

Name of Student : Wafeya Elsheikhy Score ______

Name of Teacher ______________________________ Date Submitted ____________

Instruction: Answers must be printed.

BLOOD TESTS FUNCTION Normal Significance if Significance if NURSING

Value decreased Increased RESPONSIBILITY
1.CBC -
COMPLETE
BLOOD
COUNT)
(2 marks)

1. SERUM FUNCTION Normal Significance if Significance if NURSING

ELECTROLYTES Value decreased Increased RESPONSIBILITY
(2 marks)

2. Blood FUNCTION Normal Significance if Significance if NURSING

Coagulation Value decreased Increased RESPONSIBILITY
Profile
(1 mark)

Partial To detect the 30 to 45 thrombosis hemophilia - Monitor vital sign

thromboplastin seconds - von Willebrand - Look out high blood pressure
presence of a
time (Ptt) disease. - assess the patient for
clotting any signs of bleeding or
disorder. coagulate and teach the
patient and family how to
lower the risk of them

Prothrombin time Evaluates 10 to 12 At risk of Deep vein - Monitor vital sign

 King Saud university NURS 222
College of Nursing
Medical Surgical Department ADULT HEALTH NURSING 1
1st Semester AY 1442

(Pt) ability to clot seconds hemorrhage thrombosis - Look out high blood pressure
- assess the patient for
any signs of bleeding or
coagulate and teach the
patient and family how to
lower the risk of them
International A standardised 1 to 2 -blood is not thin blood coagulates - Monitor vital sign
normalised ratio measurement of enough. too slowly. - Look out high blood pressure
(INR) the time it takes -coagulates too -risk bleeding. - assess the patient for
for blood to clot. easily ,puts at any signs of bleeding or
risk of developing coagulate and teach the
a blood clot. patient and family how to
lower the risk of them

thrombin clotting measures the time 12 to 14 low fibrinogen, disease that - Monitor vital sign
time (TCT) it takes for a clot seconds high fibrinogen, or prevents blood - Look out high blood pressure
to form in the fibrinogen that's from clotting ( risk - assess the patient for
plasma of a blood not working for excessive any signs of bleeding or
sample containing normally. bleeding ) coagulate and teach the
anticoagulant patient and family how to
lower the risk of them

3. ARTERIAL FUNCTION Normal Significance if Significance if NURSING

BLOOD Value decreased Increased RESPONSIBILITY
GASES
(1 mark)

PH influences every 7.35-7.45 acidosis alkalosis - Monitor the infusion rate to

physiologic activity prevent damage and watch out
in body, including for signs of phlebitis.
metabolism, pain,
and diseases. The - Watch for signs of muscle
speed of all weakness, tetany or decreased
biological and
electrical reactions activity.
is under pH control. -Monitor vital signs frequently
and record intake and output
Identify the specific
acid base to evaluate respiratory, fluid
disturbance and and electrolyte status.
degree of
- Observe seizures precautions
compensation

Partial pressure of reflects to the 35 to 45 mm Respiratory Respiratory Monitor vital signs.

carbon dioxide amount of carbon Hg alkalosis acidosis -Monitor respiratory rate,
(PCO2) dioxide gas depth, and effort. Ascertain
dissolved in the cause of hyperventilation if
blood. possible. Differentiate
hyperventilation caused by
Indirectly, the pCO2 anxiety, pain, or improper
reflects the ventilator settings.
exchange of this gas -Encourage patient to breathe
through the lungs to slowly and deeply. Speak in a
the outside air. low, calm tone of voice.
Provide safe environment.
Demonstrate appropriate
breathing patterns, if
appropriate, and assist with
respiratory aids or rebreathing
mask
 King Saud university NURS 222
College of Nursing
Medical Surgical Department ADULT HEALTH NURSING 1
1st Semester AY 1442

Partial pressure of reflects the amount 80-100mmHg -Arterial -Hyperoxia -Monitor respiratory rate,
oxygen (Po2) of oxygen gas hypoxemia depth, and effort, including use
dissolved in the - Anemia -Polycythemia of accessory muscles, nasal
blood. It primarily Cardiac or flaring, and abnormal
measures the pulmonar disease breathing patterns.
effectiveness of the -Monitor oxygen saturation
lungs in pulling continuously
oxygen into the
blood stream from
the atmosphere.
O2 Saturation measures the 95%-100% Cardiac Oxygen toxicity -assessment of a patient's gas
percentage of decompensation exchange, ventilatory control
hemoglobin which is Chronic and acid–base balance
fully combined with obstructive - lung
oxygen. disease
HCO3 Keeps the pH of 22-26mEq/L Metabolic Metabolic -Monitor oxygen saturation
blood from acidosis alkalosis continuously
becoming too acidic -Observe for cyanosis in skin;
or too basic especially note color of tongue
and oral mucous membranes.
-Position client with head of
bed elevated, in a semi-
Fowler's or sitting position

4. BLOOD FUNCTION Normal Significance if Significance if NURSING

CHEMISTRY Value decreased Increased RESPONSIBILITY
(2 marks)

5. Cardiac FUNCTION Normal Significance if Significance if NURSING

Enzymes Value decreased Increased RESPONSIBILITY
(1.5 marks)

6. CAPILLARY FUNCTION Normal Significance if Significance if NURSING

BLOOD Value decreased Increased RESPONSIBILITY
GLUCOSE
( .05 mark)

Reference: Brunner and Suddarth’s Medical Surgical Nursing

 King Saud university NURS 222
College of Nursing
Medical Surgical Department ADULT HEALTH NURSING 1
1st Semester AY 1442

Note: To be submitted on the next Clinical exposure Day. Late Submission will have deduction of 0.5 mark per
day