Davis's Comprehensive Handbook of Laboratory and Diagnostic by Anne M. Van Leeuwen

By Anne M. Van Leeuwen

This useful instruction manual may be utilized by nursing scholars in medical classes and via nurses in medical settings as a short reference. It courses the nurse in making plans what should be assessed, monitored, handled, and taught at each level of care, together with pre-test standards, intra-test systems, and posttest care. This up to date variation will also be necessary to all different healthcare pros who want to know what nurses will do with their sufferers present process laboratory or diagnostic checking out. All exams and methods are indexed in alphabetical order via their whole identify for ease of position, plus the excellent, built-in index permits quick searches by way of abbreviation, synonym, sickness country or situation, organ process, specimen variety, or try out class.

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Plasma (1 mL) collected in a green-top (heparin) tube is also acceptable. 5 times the upper limits of normal. RESULT Increased in: • Acute pancreatitis • Biliary tract obstruction DESCRIPTION & RATIONALE: Alanine aminotransferase (ALT), formerly known as serum glutamic pyruvic transaminase (SGPT), is an enzyme produced by the liver. It acts as a catalyst in the reversible transfer of an amino group between alanine and ␣ketoglutarate. The highest concentration of ALT is found in liver cells, moderate amounts are found in kidney cells, and smaller amounts are found in heart and skeletal muscle cells.

Nursing Implications and Procedure ● ● ● ● ● ● ● ● ● ● ● • Delirium tremens • Dermatomyositis • Duchenne’s muscular dystrophy • Gangrene Pretest: ➤ Inform the patient that the test is used to assess general liver, pancreatic, and musculoskeletal function. 01Van Leewan(F) (1-188) 12/15/05 8:34 PM Page 23 Aldolase ➤ Obtain a history of the patient’s complaints, including a list of known allergens (especially allergies or sensitivities to latex), and inform the appropriate health care practitioner accordingly.

Address concerns about pain related to the procedure. Explain to the patient that there may be some discomfort during the venipuncture. ➤ There are no food, fluid, or medication restrictions unless by medical direction. Intratest: ➤ If the patient has a history of severe allergic reaction to latex, care should be taken to avoid the use of equipment containing latex. Direct the patient to breathe normally and to avoid unnecessary movement. ➤ Observe standard precautions, and follow the general guidelines in Appendix A.

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