CENTRAL LUZON COLLEGE OF SCIENCE AND TECHNOLOGY #1 CBMU, Upper Kalaklan, Olongapo City

College of Nursing and Allied Health Sciences

PROCEDURE INDICATION DATE/TIME RESULTS REFERENCE VALUE INTERPRETATION

12/31/12 A CBC may be ordered when a person has any number of signs and symptoms that may be related to disorders that affect blood cells. When an individual has fatigue or weakness or has an infection, inflammation, bruising, or bleeding, a doctor may order a CBC to help diagnose the cause and/or determine its severity.

01/03/13

Complete Blood Count

01/06/13

01/10/13

Hgb 104 Hct 0.35 WBC 18.9 Neutrophils 0.70 Lymphocytes 0.29 Platelet 532 Hgb 101 Hgb Hct 0.34 120 150 WBC 21.5 Hct Neutrophils 0.70 0.30 0.40 Lymphocytes 0.29 WBC Platelet 584 5.0 10.0 x 103 L Neutrophils Hgb 105 0.30 0.70 Hct 0.33 Lymphocytes WBC 10.48 0.20 0.40 Neutrophils 0.81 Platelet Lymphocytes 0.20 150 350 x 109 L Platelet 455 Hgb 99 Hct 0.33 WBC 11.5 Neutrophils 0.70 Lymphocytes 0.24 Platelet 502

Decrease Hgb and increase Platelet indicates anemia. Increase WBC indicates inflammation and infection.

CENTRAL LUZON COLLEGE OF SCIENCE AND TECHNOLOGY #1 CBMU, Upper Kalaklan, Olongapo City

College of Nursing and Allied Health Sciences

Hgb 155 Hct 0.50 WBC 23.50 Neutrophils 0.77 Hgb Lymphocytes 0.23 120 150 Platelet 213 Hct Hgb 114 0.30 0.40 Hct 0.35 WBC WBC 9.7 5.0 10.0 x 103 L Neutrophils 0.84 Neutrophils Lymphocytes 0.16 0.30 0.70 Platelet 30 Lymphocytes 0.20 0.40 Hgb 111 Platelet Hct 0.35 150 350 x 109 L WBC 8.8 Neutrophils 0.82 Lymphocytes 0.18 Platelet 45

01/13/13

01/17/13

01/22/13

CENTRAL LUZON COLLEGE OF SCIENCE AND TECHNOLOGY #1 CBMU, Upper Kalaklan, Olongapo City

College of Nursing and Allied Health Sciences

PROCEDURE INDICATION DATE/TIME 01/01/13 01/03/13 01/05/13 01/07/13 Blood Chemistry (Electrolytes) Often ordered prior to surgery or a procedure to examine the general health of a patient. 01/10/13 01/12/13 01/15/13 01/17/13 01/23/13 RESULTS Na 116 K 3.50 Ca 1.24 Na 130 K 3.60 Na 126 K 3.80 Na 128 K 4.10 Na 128 K 2.60 Na 135 K 3.80 Na 136 K 2.60 Ca 1.15 Na 130 K 3.60 Ca 1.13 Na 129 K 3.50 REFERENCE VALUE INTERPRETATION If a child becomes dehydrated because of vomiting, diarrhea, or inadequate fluid intake, the sodium levels can be abnormally high or low, which can cause a child to feel confused, weak, and lethargic, and even to have seizures. Potassium levels that are too high or too low can increase the risk of an abnormal heartbeat. Low potassium levels are also associated with muscle weakness and cramps.

Na 135 145 K 3.5 4.5 Ca 1.12 1.32

CENTRAL LUZON COLLEGE OF SCIENCE AND TECHNOLOGY #1 CBMU, Upper Kalaklan, Olongapo City

College of Nursing and Allied Health Sciences

PROCEDURE INDICATION The creatinine test is used to diagnose impaired kidney function and to determine renal (kidney) damage. DATE/TIME RESULTS REFERENCE VALUE INTERPRETATION Low level of blood creatinine indicates nothing more than an efficient and effective pair of kidneys. Normal Normal REFERENCE VALUE pH 7.35 7.45 PCO2 35 45 mmHg PO2 80 100 mmHg HCO3 22 -26 mmHg B.E. 2 mEq/L O2 Sat. 97 100% INTERPRETATION Respiratory Alkalosis Respiratory Alkalosis Compensated Respiratory Alkalosis
(low PO2 and O2 Sat. indicates Hypoxemia)

01/04/13

24 35.4 123.8

Creatinine

01/15/13 01/23/13 DATE/TIME 01/09/13

49 35 RESULTS pH 7.57 PCO2 26.5 HCO3 24 O2 Sat. 99.7% pH 7.53 PCO2 22.6 HCO3 18.5 O2 Sat. 99.7% pH 7.64 PCO2 16.3 PO2 42.3 HCO3 17.4 B.E. (-) 3.3

PROCEDURE

INDICATION

Arterial Blood Gas

This test is used to check how well the lungs are able to move oxygen into the blood and remove carbon dioxide from the blood.

01/10/13

01/13/13

CENTRAL LUZON COLLEGE OF SCIENCE AND TECHNOLOGY #1 CBMU, Upper Kalaklan, Olongapo City

College of Nursing and Allied Health Sciences

O2 Sat. 89.0% PROCEDURE Random Blood Sugar PROCEDURE INDICATION To monitor blood glucose levels. INDICATION DATE/TIME 01/01/13 01/04/13 DATE/TIME 12/31/12 01/09/13 The chest x-ray can be used to evaluate the heart, the lungs, and the bones. It is often done in the setting of acute trauma to rule out a number of lifethreatening conditions. 01/13/13 (Compared to 01/09/13) 01/15/13 (Compared to 01/13/13) RESULTS 118 134 REFERENCE VALUE 80 110 mg/dL INTERPRETATION

Chest X Ray

01/20/13 (Compared to 01/15/13)

RESULTS Lung haze is seen, consider Pneumonia. True cardiac size is not assessed. Aorta is not delineated. Unremarkable osseous structures. Progression of left lung atelectasis compensatory hyperaeration of the right lung field. Hyperinflation right lung with herniation to the left hemithorax. Cardiomediastinal shift. ET appear long in the RMB and suggest revision. Loss of clarity of the diaphragm and costophrenic gutter, left. Elevated left hemi diaphragm. ET was pulled into place left lung infiltrates, consider pneumonia, normal heart size. Diaphragm and bony thoracic cage are intact. Study shows stationary size of the cavitary lesion with left apical capping in the left upper lobe. Interstitionocular densities in the perihilar areas. Peribronchial cuffing is noted. The rest of the lung fields are clear. Heart is not enlarged. Left hemidiaphragm is elevated. Both sulci are intact. Endotracheal tube seen with its tip at the level of T2. NGT is seen in place. The rest of the findings remain unchanged.

CENTRAL LUZON COLLEGE OF SCIENCE AND TECHNOLOGY #1 CBMU, Upper Kalaklan, Olongapo City

College of Nursing and Allied Health Sciences

REFERENCE VALUE Color Light Yellow to Amber Turbidity Transparent or Clear Specific Gravity 1.005 1.035 pH Slightly Acidic Protein Negative Glucose Negative Bacteria Few

PROCEDURE

INDICATION

DATE/TIME

RESULTS

INTERPRETATION

Urinalysis

For general health screening of urinary and metabolic status. Helps to monitor their status and determines whether their course of treatment requires adjustment.

01/13/13

Color Light Yellow Turbidity Clear Specific Gravity 1.010 pH Alkaline Protein Negative Glucose Negative Bacteria Few

Alkalinity is caused by presence of bacterial infections.

CENTRAL LUZON COLLEGE OF SCIENCE AND TECHNOLOGY #1 CBMU, Upper Kalaklan, Olongapo City

College of Nursing and Allied Health Sciences

PROCEDURE Hemostatic Function Test INDICATION To determine whether they are likely to bleed excessively during an invasive procedure. DATE/TIME 01/06/13 01/12/13 RESULTS Bleeding Time 3 Clotting Time 3 Bleeding Time 2 Clotting Time 4 REFERENCE VALUE Bleeding Time 2 5 mins Clotting Time 2 6 mins REFERENCE VALUE Color Colorless Appearance Clear Reaction 7.28 7.32 WBC 5 or less cells/mm3 RBC 0 Lymph 08 Glucose 50 80 mg/dL Total Protein 0.015 0.045 INTERPRETATION Normal

PROCEDURE

INDICATION Cerebrospinal fluid (CSF) analysis may be used to help diagnose a wide variety of diseases and conditions affecting the central nervous system. Infectious diseases such as meningitis and encephalitistesting is used to determine if infection is caused by bacteria, viruses or, less commonly, by tuberculosis, fungi or parasites, and to

DATE/TIME

RESULTS

INTERPRETATION

CSF Analysis

01/17/13

Volume (approx. 5cc) Color Colorless Appearance Clear Reaction Alkaline WBC 8 cells/mm3 RBC 15 cells/ mm3 Lymph 8 Glucose 16.64 Total Protein 1.39 g/L

Increase WBC and RBC, decrease Glucose indicates meningitis of any type. Increase protein in CSF indicates bleeding or nerve inflammation.

CENTRAL LUZON COLLEGE OF SCIENCE AND TECHNOLOGY #1 CBMU, Upper Kalaklan, Olongapo City

College of Nursing and Allied Health Sciences

distinguish it from other conditions; may also be used to detect infections of or near the spinal cord or to investigate a fever of unknown origin. PROCEDURE INDICATION DATE/TIME 01/05/13 Computerized Tomography Scan Used to image a wide variety of body structures and internal organs. RESULTS Meningitis with communicating Obstructive Hydrocephalus and transependymal seepage, lunar infarct in the left leutiform nucleus, cerebral swelling, consider right mastoiditis with minimal cholesteatoma formation. Shows marked progression of the communicating Hydrocephalus as evidenced by the further dilatation of both lateral 3rd and 4th ventricles with peri-epyndymal hypoattenuation due to CSF seepage. The lacular infarct not outlined in the present examination. Past contrast examination shows a subtle enhancement of the cortical sulci due to meningal inflammatory changes. The rest of the examination remained unchanged.

01/16/13 (Compared to 01/05/13)