Base on the information below please answer those questions. Patient medication: Eliquis, Toprol, Metformin, Lasix, citalopram, atorvastatin, lorazepam, metolazone What is causing the abnormal lab values in YOUR PATIENT? 2. Are the abnormal lab values at the patient's baseline, or worse? 3. What labs that were drawn specifically correlate to your patient's medical diagnoses? 4. Trend labs, note which ones are getting better and why and which ones are getting worse and why. 5. What nursing interventions do you expect to complete to correct the abnormal lab value(s) in THIS patient?

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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Base on the information below please answer those questions. Patient medication: Eliquis, Toprol, Metformin, Lasix, citalopram, atorvastatin, lorazepam, metolazone What is causing the abnormal lab values in YOUR PATIENT? 2. Are the abnormal lab values at the patient's baseline, or worse? 3. What labs that were drawn specifically correlate to your patient's medical diagnoses? 4. Trend labs, note which ones are getting better and why and which ones are getting worse and why. 5. What nursing interventions do you expect to complete to correct the abnormal lab value(s) in THIS patient?
n
Student Name:
Date/Time Na
3/30 @1030 133 2.9
Date/Time
ct
95
Date/Time WBC RBC Hgb
3/30@1030 11.4 3.9
6.1
Hematology
CO2 (venous) Anion Gap
23
6
Hct
100000
17
Patient Initials:
Microbiology/Cultures
Pit
SOOOK
32,000
General Chemistry
Mg
1.2
Date of patient care and day of hospitalization:
Labs
Factor Xa
BUN Creat. eGFR
58
2.9 28
Coagulation
PT
INR
2.1
PTT
A1C 12.2
Glu
62
Disease Specific Labs Tests (BNP, A1C, LFT, CK/Trop, ABG, Phos
Therapeutic Drug levels ex: Vancomycin, Digoxin)
Date/Time
Date/Time
3/30 @1030
3/30 @1030
Ca
8.5
Glucometer checks
52
Transcribed Image Text:n Student Name: Date/Time Na 3/30 @1030 133 2.9 Date/Time ct 95 Date/Time WBC RBC Hgb 3/30@1030 11.4 3.9 6.1 Hematology CO2 (venous) Anion Gap 23 6 Hct 100000 17 Patient Initials: Microbiology/Cultures Pit SOOOK 32,000 General Chemistry Mg 1.2 Date of patient care and day of hospitalization: Labs Factor Xa BUN Creat. eGFR 58 2.9 28 Coagulation PT INR 2.1 PTT A1C 12.2 Glu 62 Disease Specific Labs Tests (BNP, A1C, LFT, CK/Trop, ABG, Phos Therapeutic Drug levels ex: Vancomycin, Digoxin) Date/Time Date/Time 3/30 @1030 3/30 @1030 Ca 8.5 Glucometer checks 52
Layout
13
Review
References Mailings
Text Predictions: On
▬
▬▬
Student Name:
Date of Care 4/5/23 Pt. Initials S Age 77 Gender female Religion N/A
Code Status Full code Ht: not documented Wt: Not documented Primary RN:
Primary and Secondary Medical Admission Diagnosis: Abdominal Pain and Bloating
$
Date of Admission: 3/30/23
Allergies: none
Isolation Precautions: Standard
History of present illness: Abdominal Pain, bloating, bowel obstruction with large, distended loops of bowel.
O Search
Help Table Design Layout
Daily Patient Assessment Worksheet
Current pertinent nursing priorities (problems/assessments): Risk for dehydration due to lack of fluid intake,
lack of breathing, risk for bleeding due ulcer
Nursing Report Notes:
Mrs. Smith is a 77-year-old female patient admitted to the Women's Health Unit at RIH. She has a 3-day
history of abdominal pain and bloating. She has not had a bowel movement in 7 days and reports
minimal po intake due to pain and fullness in the abdomen. She had a CT of her abdomen that revealed
a bowel obstruction with large, distended loops of bowel. In the emergency department, a 16Fr
nasogastric tube was placed in the left nares at 55 cm. A chest x ray confirmed placement. She
immediately put out 730 ml of coffee ground emesis in the ED. Transport just brought the patient up
from the emergency department. The ER RN tells you that the patient said she has been taking
metolazone for the past few days to help with her abdominal pain and bloating.
PMH: Afib, HTN, DM2, Depression, Anxiety, CVA
(no deficits), ETOH
IDI
R
View
Accessibility: Investigate.
%
5
T
6
Y
+
&
7
Past Surgeries: Cholecystectomy, Tonsillectomy, bilat-
eral knee replacement 3 years ago
U
*
CNA:
+
8
00
9
O
f
Focus
PI
P
80
PComments
insert
Transcribed Image Text:Layout 13 Review References Mailings Text Predictions: On ▬ ▬▬ Student Name: Date of Care 4/5/23 Pt. Initials S Age 77 Gender female Religion N/A Code Status Full code Ht: not documented Wt: Not documented Primary RN: Primary and Secondary Medical Admission Diagnosis: Abdominal Pain and Bloating $ Date of Admission: 3/30/23 Allergies: none Isolation Precautions: Standard History of present illness: Abdominal Pain, bloating, bowel obstruction with large, distended loops of bowel. O Search Help Table Design Layout Daily Patient Assessment Worksheet Current pertinent nursing priorities (problems/assessments): Risk for dehydration due to lack of fluid intake, lack of breathing, risk for bleeding due ulcer Nursing Report Notes: Mrs. Smith is a 77-year-old female patient admitted to the Women's Health Unit at RIH. She has a 3-day history of abdominal pain and bloating. She has not had a bowel movement in 7 days and reports minimal po intake due to pain and fullness in the abdomen. She had a CT of her abdomen that revealed a bowel obstruction with large, distended loops of bowel. In the emergency department, a 16Fr nasogastric tube was placed in the left nares at 55 cm. A chest x ray confirmed placement. She immediately put out 730 ml of coffee ground emesis in the ED. Transport just brought the patient up from the emergency department. The ER RN tells you that the patient said she has been taking metolazone for the past few days to help with her abdominal pain and bloating. PMH: Afib, HTN, DM2, Depression, Anxiety, CVA (no deficits), ETOH IDI R View Accessibility: Investigate. % 5 T 6 Y + & 7 Past Surgeries: Cholecystectomy, Tonsillectomy, bilat- eral knee replacement 3 years ago U * CNA: + 8 00 9 O f Focus PI P 80 PComments insert
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