Question

What are the nursing interventions for an abnormal result for the following tests?

1. LDH

2. Troponin I

3. CPK

4. BUA

5. FBS

Answer 1

LDH (Lactic Dehydrogenase) is an isoenzyme present in the body tissues. It is a strong indicator of MI (myocardial infarction). The nursing inerventions to abnormal LDH resluts are:

a) Assess for any chest pain and monitor vital signs especially blood pressure and pulse rate

b) Assess for any presence of shortness of breath, dyspnea, tachypnea or crackle sounds while breathing.

c) Assess for any decreased urine output

d) assess for any complications or changes in the patient status.

Troponin I: It is elevated when there is a chance of occurrence of Angina or chest pain.

a) Monitor the patient continuously for every 30 minutes to assess the chest pain

b) Check for an ST elevations and inform to perform an EKG

c) Administer nitroglycerin sublingually to reduce pain

CPK ( Creatine Phosphokinase) is also an enzyme found in the body tissues of heart,brain and skeletal muscles. The interventions include:

a) Monitor for any tissue damage and monitor the patient level of consciousness

b) Assess patient for any chest pain

c) Monitor vital signs and administer oxygen supply

BUN(

a) Monitor the intake and output chart,including fluid intake

b) Check daily weights of the patient

c) Watch for any hyperkalemia and correct it as per doctors order

d) Maintain nutrition

e) Check for any skin integrity problems like edema,itching and check for any signs and symptoms of infections.

FBS (Fasting Blood Sugar): If there is an increased blood glucose level in the blood do the following to reduce glucose levels. They are:

a) Immediately lower the glycaemic control by starting an Insulin  administration via syringe pump

b) Monitor blood glucose level every half an hour

c) Patient education should be given on how to control blood glucose levels.

d) Advice the patient to engage in mild exercise,diet control and daily administration of insulin as per doctors order.

e) Check for any hyperkalaemia.