Normal Range Result and date interpretation Significant Nursing

results responsibilities
(Sept. 5, 2010
DIAGNOSTIC
CreatinineTESTS
level 53-106 umol/L -5:33pm) Normal No significance -maintain aseptic technique
(Serum) 90
-monitor intake and output
- The test is
performed to -infection control
evaluate kidney
function. -monitor signs of infection

-give medications as
Blood typing Result RH prescribed.

Blood type “A” RH: : positive

(sept. 5, 2010 – 5:56pm)

CBC
(Sept.5,2010-5:56pm) -apply direct pressure to the
site until bleeding stops
4.88 -monitor signs of bleeding
RBC 4-6x10 12/L Normal No significance
0.44 -maintain aseptic technique
Hematocrit 0.40-0.54 Normal No significance
Hemoglobin 147.0 -infection control
130-160 g/L Normal No significance
WBC 31.6 -monitor signs of infection
5-10x10 9/L Increased An increased count
(leukocytosis) commonly -promote rest
signals infection, or may
DIAGNOSTIC TESTS

BRAIN SCAN PLAIN

(sept. 5, 2010)

-Multiple axial tomographic sections of the head without contrast were obtained.
-plain CT images of the head shows diffuse effacement of the sulci and cisterns, more on the right with compression of the right lateral ventricle.
-hyperdensities seen in the tentorium cerebilli and interdigitating along the sulci of the left temporal lobe.
-the midline structures are slightly shift to the left.
-the posterior fossa ,sella, orbits, and petromastoids are unremarkable.
-haziness seen all the para-nasal sinuses.
-linear fractures seen in the right temporal, both frontal and parietal bones with depression in the left fronto-parietal bone, depth of about 1.0cm. comminuted fracture also seen in the
zygoma, greater wings of the sphenoid and bases of the frontal bones. No other significant findings.

Impression:
-large non-hemorrhagic contusion, right cerebral hemisphere with diffuse edema, more on the right
-acute subdural bleeding, tentorium cerebilli
-acute subarachnoid bleed, left temporal lobe
- linear fractures, right temporal, both frontal and parietal bones with depression in the left fronto-parietal bone
- comminuted fractures, both zygoma, greater wings of the sphenoid and bases of the frontal bones
DIAGNOSTIC TESTS

- traumatic pansinusitis