Question

What are the Nursing interventions for an abnormal result for the following tests

1. CBC

2. Hct and Hgb test

3. Coagulation test (PT, PTT, aPTT)

4. Creatinine

5. Serum electrolytes

Answer 1

Answer :

Nursing interventions of an abnormal results of the following :

1. Complete blood count.

* It includes all red blood cells, white blood cells, plate let's, and hemoglobin levels ect.

* If less hemoglobin levels means as nurse we need to educate the client regarding intake of Iron rich diet to correct anemia.

* Like all green leafy vegetables, egg, milk, drum sticks, all black fruits may increases the urine.

* if there is any increased wbc count indicates infection, so nurse has to educate regarding maintainance of aseptic techniques .

* educate to take vitamin c diet absorption of iron.

* if it is severe anemia blood transfusion may done.

* if there is any Thrombocytopenia advised to take papaya and pineapple juice to improve platelets.

* advice to use soft tooth brush to prevent any bleeding from gums.

* plate let count should be done twice a day up to improvement more than 1.5 lakh.

2. Hgb(hemoglobin) and hct(hematocrit) :

If these leaves are low there is a anemia. To find out anemia we can check this hgb and hct levels.

* adversed to take iron rich diet.

* provide adequate diet and rest to prevent fatigue and weakness.

* administer oxygen to maintain normal breathing pattern, because low hemoglobin leads to less oxygen carrying capacity leads to dyspnea.

* provide Fowler position.

3. Coagulation test :

* if there is increased values of anticoagulants like PT, the bleeding disorders may increases.

* don't administrator aspirin and warfarine and heparin drugs to this type of clients.

* don't give intramuscular injections.

4. Creatinine :

If these values increases, indicates renal problems.

* administer diuretics.

* avoid to give high fluids due to lack of elimination.

* provide adequate rest to avoid weakness and fatigue.

* administer anti emitics like ondonsetron, to reduce nausea and vomiting.

5. Serum electrolytes :

Includes sodium, potasium, chloride, magnesium calcium ect.

* administer electrolytes through intravenous fluids.

* investigate continueously for levels of those electrolytes alterations.

* administer multivitamin injection, it may decreases some neurological problems due to electrolyte imbalance.

* provide comfortable bed rest.

* advise patient to take adequate oral fluids like juices ect.

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