Pt is a 81 y.o female with history of schizoaffective disorder, tardive dyskinesia, CAD, oxygen independent, COPD, HTN that presents with sustaining a fall at home. Her fall occurred as she was transferring from bed to commode. She denies any loss of consciousness or head trauma. Patient sustained multiple falls over the last 2 weeks. She continues to experience auditory and visual hallucinations and reportedly sleeps with a knife under her pillow. She is primarily wheelchair bound and dependent on her caretakers for ADLs. Hypertension, Fall risks, DNR, stage 2 coccyx wound, Acid reflux, dsylipidemia, Aspiration precautions, she has a thrush, did not have any bowel movement, Asthma, dysphasia, greenish marks on both hands, incontinence, oxygen 3L, pain level 4 neck, head, and coccyx. Anemia, suicidal risks. Type 2 diabetes/ neuropathy. Base the patient nursing report, medications, and labs please do the questions below. 1. 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
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Pt is a 81 y.o female with history of schizoaffective disorder, tardive dyskinesia, CAD, oxygen independent, COPD, HTN that presents with sustaining a fall at home. Her fall occurred as she was transferring from bed to commode. She denies any loss of consciousness or head trauma. Patient sustained multiple falls over the last 2 weeks. She continues to experience auditory and visual hallucinations and reportedly sleeps with a knife under her pillow. She is primarily wheelchair bound and dependent on her caretakers for ADLs. Hypertension, Fall risks, DNR, stage 2 coccyx wound, Acid reflux, dsylipidemia, Aspiration precautions, she has a thrush, did not have any bowel movement, Asthma, dysphasia, greenish marks on both hands, incontinence, oxygen 3L, pain level 4 neck, head, and coccyx. Anemia, suicidal risks. Type 2 diabetes/ neuropathy. Base the patient nursing report, medications, and labs please do the questions below. 1. 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?
Sodium
5-12 = 140
5-14 = 139
5-15-138
5-17-139
Anton Gap
5-12-10
5-14-8
5-15-8
5-17-10
Albumin
5-16=26
5-17=2.7
Hematont L
5-12-284
S-14-29.7
сог
5-12=22
5-14:25
5-15-25
S-17-415-17=105 5-17=24
Potassium
5-12-38
5-14- 4.6
S-15-4.)
BUN
Creatinine
5-12-20 5-12= 0.74
5-14 = 22 S-14=0.77
5-15-22 S-15=0.80
5-17=16 5-17 = 0·75 5-17-60
Calcium
AST
ALT
5-12=89
5-16=20 5-16-10 5-16=77
5-14-8-9 5-17-25 5-17-12 5-17-82
5-15=8-8
5-17 = 88
chlorch
5-12=108
5-14 =106
5-15-105
5-16= 25.7
5-17 = 26.2 R = 19
Temp:95
BP = 107/45
HR=89
RBCL
5-12=2.93
Glucose
&GFR
5-12=60 5-12=107
5-14=60 5-14-98
5-15-60
5-15=93
5-17=101
WBC
Hemoglobin L
5-12-9-5
5-131= 3·05 5-14=10.1
5-16= 2.78 5-16=8-6
5-17-4-5 5-17 = 2.69 5-178.5
5-12-6-2
5-14 = 6.1
5-16=3.9
Vitals 10
SPOZ-100
Poin 4
Alkaline Phosphatase Protein &
5-16-5-8
5-17-5-9
Vitals 1115
Temp 85
Bp: 102/51
SpO2 99
2:20
HR:84
ради о
Transcribed Image Text:Sodium 5-12 = 140 5-14 = 139 5-15-138 5-17-139 Anton Gap 5-12-10 5-14-8 5-15-8 5-17-10 Albumin 5-16=26 5-17=2.7 Hematont L 5-12-284 S-14-29.7 сог 5-12=22 5-14:25 5-15-25 S-17-415-17=105 5-17=24 Potassium 5-12-38 5-14- 4.6 S-15-4.) BUN Creatinine 5-12-20 5-12= 0.74 5-14 = 22 S-14=0.77 5-15-22 S-15=0.80 5-17=16 5-17 = 0·75 5-17-60 Calcium AST ALT 5-12=89 5-16=20 5-16-10 5-16=77 5-14-8-9 5-17-25 5-17-12 5-17-82 5-15=8-8 5-17 = 88 chlorch 5-12=108 5-14 =106 5-15-105 5-16= 25.7 5-17 = 26.2 R = 19 Temp:95 BP = 107/45 HR=89 RBCL 5-12=2.93 Glucose &GFR 5-12=60 5-12=107 5-14=60 5-14-98 5-15-60 5-15=93 5-17=101 WBC Hemoglobin L 5-12-9-5 5-131= 3·05 5-14=10.1 5-16= 2.78 5-16=8-6 5-17-4-5 5-17 = 2.69 5-178.5 5-12-6-2 5-14 = 6.1 5-16=3.9 Vitals 10 SPOZ-100 Poin 4 Alkaline Phosphatase Protein & 5-16-5-8 5-17-5-9 Vitals 1115 Temp 85 Bp: 102/51 SpO2 99 2:20 HR:84 ради о
Medicamens
Acetaminophen (Tylenol) 6.50mg
Allbuterol (Provertel HFA, VENtuli, Minhaler 2puffo helps with our lungs
Bisacodyl (Dulcolax) EC tabs long slaordfice
Budesonide Formoterol (Symbicort ) 160-4. Smcg inhaler z paff
wheezing 4 SOB
Ceftriaxone in dixhose (Rocephin) / grom / 50mL 200tibutic
Cyanocobalamin (utamin B-12) 300mcg altelp with V12 deficing anemia
Famotidine (Pep (id) Hong
Gabapentin (neurontin) Capsule zoong
Heparin 5,000 u injection Sion
pratropium-albutrol (Duoneb)0.5. 2.5mg 3m²
Loktated ringers bolus soume (completel
Coltated ringers infusion (
Latanoprost (xalatan) 0.005/0fth thalmic Solution I drop
lidocaine (Lidodem)s. Ipotch
1. docaine (Uro-Set, GlyDo) Jelle (Expired)
Magnesium hydroxide (MILK of Magnesia) Suspension 30mL
Melatonin Sing
Metoprolol tar trote (Lopressor) Bong Ropinirole (Requip) o Smy
Simvastatin (20(or) 20mg
Omeprazole (Prilosec) capsule zomg Sodium chlonde flush 3 mL
Mirtazapine (Remeron) 7.5mg,
Transcribed Image Text:Medicamens Acetaminophen (Tylenol) 6.50mg Allbuterol (Provertel HFA, VENtuli, Minhaler 2puffo helps with our lungs Bisacodyl (Dulcolax) EC tabs long slaordfice Budesonide Formoterol (Symbicort ) 160-4. Smcg inhaler z paff wheezing 4 SOB Ceftriaxone in dixhose (Rocephin) / grom / 50mL 200tibutic Cyanocobalamin (utamin B-12) 300mcg altelp with V12 deficing anemia Famotidine (Pep (id) Hong Gabapentin (neurontin) Capsule zoong Heparin 5,000 u injection Sion pratropium-albutrol (Duoneb)0.5. 2.5mg 3m² Loktated ringers bolus soume (completel Coltated ringers infusion ( Latanoprost (xalatan) 0.005/0fth thalmic Solution I drop lidocaine (Lidodem)s. Ipotch 1. docaine (Uro-Set, GlyDo) Jelle (Expired) Magnesium hydroxide (MILK of Magnesia) Suspension 30mL Melatonin Sing Metoprolol tar trote (Lopressor) Bong Ropinirole (Requip) o Smy Simvastatin (20(or) 20mg Omeprazole (Prilosec) capsule zomg Sodium chlonde flush 3 mL Mirtazapine (Remeron) 7.5mg,
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