Date

Ordered
Diagnostic/Laborator Indication(s) or Purpose Results Normal Analysis and Interpretation
y procedures Date Values of Results
Result(s)
in

DO: Complete Blood Count is

December ordered to Flor to determine
2. Complete Blood 02, 2008 alterations in the blood
Count component that could
DRI: indicate presence of
December infection and improper
03, 2008 oxygenation.
Hemoglobin To determine the 140 140-185 The hemoglobin level is
concentration of Hgb, the gm/L gm/L within normal range. It
oxygen carrier of the blood indicates that there is
found in the RBCs adequate oxygenation since
the oxygen-carrying capacity
of the blood is not altered.
However, it is within the
lower boarder line that
brought about by RBC
hemolysis, the breakdown of
heme and globin which they
become biliribin, the total,
direct, indirect that indicates
there is obstraction.
Hematocrit Hematocrit determines the 0.45 % 0.40-54% Hematocrit levels are also

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 percent of blood volume within normal range. If there
that is red blood cells is adequate percentage of
RBC in the blood, proper
oxygenation can be
considered.
WBC Helps determine infection or 7.8 x 3.5- The WBC count is within
103/mm 10x103/mm normal level though it is
Inflammation 3 3 close to the range’s lower
limit. A increase in WBC
count may signify viral
infection.
Lymphocytes To determine the number of 32% 20-40%
this
mononuclearagranulocte,
which function as the
second line of defense by
producing antibodies
againts specific invading
agents.
Segmenters A type of white blood cell, 0.66 The result indicates that
specifically a form of there is inflammation. And
granulocyte, filled with supported by the ultrasound
neutrally-staining granules, that the Gallbladder is
tiny sacs of enzymes that distended.
help the cell to kill and
digest microorganisms
Alkaline Phosphatase To determine levels of the 500.0 UL 100-290 UL Alkaline Phosphatase is
eneyme, which is found found in the liver, intestine
mainly in the liver, intestine and in bone that should be
and bone excreted. If the patient had
no problem in bone it is
suspected that it is in the
liver. As a result, the patient

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 is within the above normal
that indicates that the ALP is
not excreted hence there is
obstraction.
3. Bilirubin To determine levels of
bilirubin, a substance
Total derived from Hemoglobine 40.9 0 -2 umo/L
in the RBCs that have been umo/L
breakdown. Bilirubin is
excreted by the liver into 29.2
Direct the bile then into the umo/L 0-9 umo/L The result is above normal
duodenum. that indicates billiary tract
obstraction.

Indirect 11.7 0-11 umo/L The result is above norml

umo/L that indicates there is
unconjugate jaundice, and
they are said to be soluble
that is present in the urine of
the patient with a yellow
color.

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NURSING RESPONSIBILITIES - HEMATOLOGY
BEFORE:
• Prepare the client
• Thorough assessment and data collection (e.g. biologic, psychologic,
cultural and spiritual) assist the nurse in determining communication
and teaching strategies.
• The nurse needs to know what equipment and supplies are needed
for the test.
• Instruct the client and family about requirements or restrictions
(when and what to drink, how long to fast).
• Provide information about what the client may feel.
• Inform the client the time period before the results will be available.
• Review the client record for medications that may prolong bleeding
such as anticoagulants.
DURING:
• The nurse focuses on specimen collection and performs or assists
with certain diagnostic testing.
• The nurse uses standard precautions and sterile techniques as
appropriate.
• The nurse provides emotional and physical support while monitoring
the client as needed.
• The nurse ensures correct labeling, storage, and transportation of
the specimen to avoid invalid test results.
AFTER:
• The nurse focuses on nursing care of the client and follows up
activities and observations.
• The nurse compares the previous and current test results and
modifies interventions as needed.
• The nurse also reports the results to appropriate health team
members.

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