CBC - PART 1
URINALYSIS
COAGULATION
CBC - PART 2
ECG
100
This is a measure of the oxygen carrying capacity of blood.
What is "hemoglobin"
100
Pale straw colored urine indicates you are healthy and hydrated while amber colored urine indicates your body is not getting enough water. This test will reveal the ion concentration of urine.
What is "urine specific gravity"
100
This measures the quality of the extrinsic pathway of coagulation and is defined as the time it takes plasma to clot after the addition of tissue factor.
What is "prothrombin time" or "PT"
100
Lower levels of RBC, HGB, and HCT are to be expected in Mrs. Reid because of this...
What is "blood loss from total hip replacement surgery"
100
A ECG is done preoperatively to...
What is to "detect any abnormal rhythms, detect heart muscle damage, help determine the cause of chest pain, heart palpitations, or murmurs."
200
This value measures the variation in cellular volume of the RBC population.
What is "red cell distribution width"
200
Bacteria, blood, sperm, crystals, and/or mucus can make this component of urinalysis cloudy.
What is "clarity"
200
This value measures the efficacy of the INTRINSIC pathway of coagulation and is used to detect abnormalities in blood clotting. The typical reference range is between 30-50 seconds.
What is "activated partial thromboplastin time"
200
Based on Mrs. Tofte's lab results you would want to question administering these categories of drugs to her, even if ordered to do so....
What is "RBC, HGB, and HCT lowering drugs"
200
This happens when an ECG triggers abnormal results...
What is " trigger a series of other tests including echocardiography, stress testing, and/or cardiac catheterization."
300
This value is the volume percentage of red blood cells in blood; It is dependent on body size.
What is "hematocrit"
300
The presence of nitrites and/or leukocytes in urine is indicative of this.
What is "urinary tract infection"
300
This is a calculation made to standardize prothrombin time. It is based on the ratio of the patient's prothrombin time and the normal mean (control) prothrombin time.
What is "international normalized ratio"
300
If RBC, HGB, and HCT values continue to drop post-operatively you are likely concerned about this...
What is "hemorrhage"
300
Mrs. Ruth Reid's ECG would visually differentiate from a ECG which displays normal sinus rhythm by displaying this... (draw it on the whiteboard!)
What is a "depression on the ST segment"
400
The function of this element is the maintenance of hemostasis; hemostasis is achieved primarily by the formation of thrombi when damage to the epithelium of blood vessels occurs.
What is "platelets"
400
The detection of this in urine indicates that the permeability of the glomerulus is abnormally increased.
What is "protein"
400
Elevation of PT/INR/APTT would most likely lead you to formulate this nursing diagnosis...
What is "increased risk for hemorrhage"
400
These 2 trends in vital signs are indicative of a hemorrhage and thus could be an explanation of low RBC, HGB, and HCT...
What is "low BP and elevated heart rate"
400
When the electrical heart axis is between -30 degrees and -90 degrees it is classified as this...
What is "left axis deviation"
500
A possible nursing diagnosis to explain the high level of ketones in Mrs. Tofte's urine is...
What is "inadequate nutritional status"
500
When the production of the intermediate products of fatty acid metabolism exceeds the body's ability to metabolize them, this accumulates in blood and urine.
What is "ketones" or "ketone bodies"
500
Postoperatively patients are commonly put on anticoagulants (ie. heparin/warfarin therapy) to reduce the risk of blood clot formation. This has what effect on PT/INR/APTT values
What is "an increase"
500
Preoperatively this nursing diagnosis (with respect to her low RBC, HGB, and HCT) is likely assigned to Mrs. Tofte.... Bonus: what nursing interventions would you implement?
What is "risk for inadequate tissue perfusion"
500
Non-specific apical ST sagging may be considered normal if the depression is within this range...
What is "0-0.5mm"