zev - lab ortho chronic osteomyelitis

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Date Lab Test Actual Result Normal Values Intepretation Nursing Responsibili ty 11/02/1 0 Hematology Hemoglobin Mass Hematocrit Leukocyte count Diff. Count: Segmenters Diff. Count: Lymphocytes Diff. Count: Monocytes Diff. Count: Eosinophils Platelet Coagulation Studies PTT 93 g/L 0.28 23.3 x10 9 /L 0.4 0.39 0.08 0.13 733 x10 9 /L 14.1 36.3 127 – 183 g/L 0.37 – 0.54 4.5 – 10 x10 9 /L 0.5 – 0.7 0.20 – 0.40 0.0 – 0.07 0.00 – 0.05 150 – 400 x10 9 /L 11 – 15 sec 22 – 45 sec Low: Hemoglobin decreases in various anemias, severe or prolonged hemorrhage, and with excessive fluid Low: Hematocrit decreases in severe anemias, and acute massive blood loss High: increased leukocyte count may determine bacterial or viral infection Low: Segmenters decrease with bacterial infections Normal High: Increased level of monocytes may determine chronic inflammation High: Increased eosinophils level may indicate chronic infection High: Increased Platelet count is Check puncture site for signs of bleeding Secure site for possible infection

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Page 1: Zev - Lab Ortho Chronic Osteomyelitis

Date Lab Test Actual Result

Normal Values Intepretation Nursing Responsibility

11/02/10 HematologyHemoglobin Mass

Hematocrit

Leukocyte count

Diff. Count: Segmenters

Diff. Count: LymphocytesDiff. Count: Monocytes

Diff. Count: Eosinophils

Platelet

Coagulation StudiesPTTActivated PTT

IndicesMCVMCHMCHC

RBC MorphologyESR (children)

93 g/L

0.28

23.3 x109/L

0.4

0.390.08

0.13

733 x109/L

14.136.3

531834

25

127 – 183 g/L

0.37 – 0.54

4.5 – 10 x109/L

0.5 – 0.7

0.20 – 0.400.0 – 0.07

0.00 – 0.05

150 – 400 x109/L

11 – 15 sec22 – 45 sec

82 – 92 fl28 – 32 pg32 – 38%

0 – 10 mm/hr

Low: Hemoglobin decreases in various anemias, severe or prolonged hemorrhage, and with excessive fluidLow: Hematocrit decreases in severe anemias, and acute massive blood lossHigh: increased leukocyte count may determine bacterial or viral infectionLow: Segmenters decrease with bacterial infectionsNormalHigh: Increased level of monocytes may determine chronic inflammationHigh: Increased eosinophils level may indicate chronic infectionHigh: Increased Platelet count is seen in many inflammatory disorders

NormalNormal

Decrease in MCV and MCH results in microcytic anemia caused by a chronic disease

Chronic inflammatory diseases increase ESR.

Check puncture site for signs of bleeding

Secure site for possible infection

11/14/10 Hematology

Page 2: Zev - Lab Ortho Chronic Osteomyelitis

Hemoglobin

Hematocrit

Leukocyte count

Diff.Ct.: Segmenters

Diff. Ct.: Lymphocytes

Diff. Ct: Monocytes

Platelet

RBC MorphologyESR (children)

91g/L

0.28

24.3 x109/L

0.39

0.43

0.18

749 x109/L

45

127 – 183 g/L

0.37 – 0.54

4.5 – 10 x109/L

0.5 – 0.7

0.2 – 0.4

0.0 – 0.07

150 – 400 x109/L

0 – 10 mm/hr

Low: Hemoglobin decreases in various anemias, severe or prolonged hemorrhage, and with excessive fluidLow: Hematocrit decreases in severe anemias, and acute massive blood lossHigh: increased leukocyte count may determine bacterial or viral infectionLow: Segmenters decrease with bacterial infectionsHigh: Increased Leukocyte count may be caused by bacterial infectionsHigh: Increased level of monocytes may determine chronic inflammationHigh: Increased Platelet count is seen in many inflammatory disorders

Chronic inflammatory diseases increase ESR.

Check puncture site for signs of bleeding

Secure site for possible infection

11/20/10 HematologyHemoglobin Mass

Hematocrit

Leukocyte count

Diff. Count: Segmenters

Diff. Count: Lymphocytes

88 g/L

0.28

18.8 x109/L

0.22

0.52

127 – 183 g/L

0.37 – 0.54

4.5 – 10 x109/L

0.5 – 0.7

0.20 – 0.40

Low: Hemoglobin decreases in various anemias, severe or prolonged hemorrhage, and with excessive fluidLow: Hematocrit decreases in severe anemias, and acute massive blood lossHigh: increased leukocyte count may determine bacterial or viral infectionLow: Segmenters decrease with bacterial infectionsHigh: Increased Leukocyte

Check puncture site for signs of bleeding

Secure site for possible infection

Page 3: Zev - Lab Ortho Chronic Osteomyelitis

Diff. Count: Monocytes

Diff. Count: Eosinophils

Platelet

IndicesMCVMCHMCHC

RBC MorphologyESR (children)

0.09

0.17

773 x109/L

541731

28

0.0 – 0.07

0.00 – 0.05

150 – 400 x109/L

82 – 92 fl28 – 32 pg32 – 38%

0 – 10 mm/hr

count may be caused by bacterial infectionsHigh: Increased level of monocytes may determine chronic inflammationHigh: Increased eosinophils level may indicate chronic infectionHigh: Increased Platelet count is seen in many inflammatory disorders

Decrease in MCV and MCH results in microcytic anemia caused by a chronic disease

Chronic inflammatory diseases increase ESR

11/21/10 HematologyHemoglobin

Hematocrit

IndicesMCVMCHMCHC

108 g/L

0.33

591831

127 – 183 g/L

0.37 – 0.54

82 – 92 fl28 – 32 pg32 – 38%

Low: Hemoglobin decreases in various anemias, severe or prolonged hemorrhage, and with excessive fluidLow: Hematocrit decreases in severe anemias, and acute massive blood loss

Decrease in MCV and MCH results in microcytic anemia caused by a chronic disease

Check puncture site for signs of bleeding

Secure site for possible infection

11/24/10 HematologyHemoglobin Mass 100 g/L 127 – 183 g/L Low: Hemoglobin decreases

in various anemias, severe or prolonged hemorrhage,

Check puncture site for signs of

Page 4: Zev - Lab Ortho Chronic Osteomyelitis

Hematocrit

Leukocyte count

Diff. Count: SegmentersDiff. Count: Lymphocytes

Diff. Count: MonocytesPlatelet

IndicesMCVMCHMCHC

RBC MorphologyESR (children)

0.32

12.7 x109/L

0.5

0.45

0.05894 x109/L

571730

20

0.37 – 0.54

4.5 – 10 x109/L

0.5 – 0.7

0.20 – 0.40

0.0 – 0.07150 – 400 x109/L

82 – 92 fl28 – 32 pg32 – 38%

0 – 10 mm/hr

and with excessive fluidLow: Hematocrit decreases in severe anemias, and acute massive blood lossHigh: increased leukocyte count may determine bacterial or viral infectionNormal

High: Increased Leukocyte count may be caused by bacterial infectionsNormalHigh: Increased Platelet count is seen in many inflammatory disorders

Decrease in MCV and MCH results in microcytic anemia caused by a chronic disease

Chronic inflammatory diseases increase ESR

bleeding

Secure site for possible infection

12/22/10 HematologyHemoglobin Mass

Hematocrit

Leukocyte count

Diff. Count: Segmenters

Diff. Count: Lymphocytes

108 g/L

0.34

17.2 x109/L

0.44

0.5

127 – 183 g/L

0.37 – 0.54

4.5 – 10 x109/L

0.5 – 0.7

0.20 – 0.40

Low: Hemoglobin decreases in various anemias, severe or prolonged hemorrhage, and with excessive fluidLow: Hematocrit decreases in severe anemias, and acute massive blood lossHigh: increased leukocyte count may determine bacterial or viral infectionLow: Segmenters decrease with bacterial infections High: Increased Leukocyte

Check puncture site for signs of bleeding

Secure site for possible infection

Page 5: Zev - Lab Ortho Chronic Osteomyelitis

Diff. Count: MonocytesDiff. Count: Eosinophils

Platelet

IndicesMCVMCHMCHC

0.020.04

894 x109/L

632032

0.0 – 0.070.05

150 – 400 x109/L

82 – 92 fl28 – 32 pg32 – 38%

count may be caused by bacterial infectionsNormalNormal

High: Increased Platelet count is seen in many inflammatory disorders

Decrease in MCV and MCH results in microcytic anemia caused by a chronic disease