Question

please help

please help to answer these questions

1. Lab values associated with pancreatitis

2. Management of PICC line complications

3. Normal CBC lab Values

4. Massage is counter-indicated if a patient is suspected of having a DVT

5. Ways to manage patient comfort during an MRI

Answer 1

1. Lab values associated with pancreatitis are :-

- LFT and RFT

- serum amylase

- serum lipase

normal= 0-160 / ABNORMAL >800-1600 **at least 8x!!

- urine amylase-creatinine clearance ratio

ABNORMAL >5%

- blood glucose

HYPERGLYCEMIA r/t beta cell damage and decrease in insulin production

- cholesterol

HYPERLIPIDEMIA r/t combining calcium and fatty acids during fat necrosis

- calcium

HYPOCALCEMIA r/t combining Ca and FAs during fat necrosis

- WBC

ELEVATED (inflammation, infection)

2. Management of PICC line complications include :-

- Catheter occlusions

Nursing Interventions: prevent kinks, reposition arm, confirm blood return, flush catheter between medications, administer approved antithrombolytic

- Catheter dislodges

Nursing Interventions: assess blood return, discomfort in jaw, chest, or ear, contact provider

- Phlebitis

Nursing Interventions: apply low degree heat, discontinue if not resolved

- catheter embolism

Nursing Interventions: secure catheter, avoid pulling, follow safe practices for catheter removal

- Infection

Nursing Interventions: use aseptic technique, keep dressing clean and dry, intervene immediately for any sign of infection

3) Normal CBC lab values are :-

- RBC :-

Male: 4.7 to 6.1 million cells/mcL

Female: 4.2 to 5.4 million cells/mcL

2. WBC - 4,500 to 10,000 cells/mcL

3. HCT :-

Male: 40.7 to 50.3%

Female: 36.1 to 44.3%

4.HB:-

Male: 13.8 to 17.2 gm/dL

Female: 12.1 to 15.1 gm/dL

5. Platelets - 150,000 to 450,000 per microliter

6. ANC - 2,500 to 6,000

4) Massage is contraindicated if a patient is suspected of DVT because of the chances of dislogment of clot or thrombosis is higher while massaging and it can lead to pulmonary embolism .