By Zoanne Burgess Schnell
Plattsburgh kingdom Univ. of latest York, manhattan. textual content is a reference designed to aid nurses within the knowing and interpretation of laboratory and diagnostic strategies and the results. comprises greater than 350 monographs masking 664 exams, together with Alzheimer's markers, melanoma markers, improved healing medications, and communicable illnesses. Softcover.
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Extra info for Davis's Comprehensive Laboratory and Diagnostic Test Handbook with Nursing Implications
Exposure of sample to room air affects test results. • Values normally increase with increasing age (see monograph titled “Blood Gases”). • Samples for A/a gradient evaluation are obtained by arterial puncture, which carries a risk of bleeding, especially in patients with bleeding disorders or who are taking medications for a bleeding disorder. • Prompt and proper specimen processing, storage, and analysis are important to achieve accurate results. A. Davis Company Alveolar/Arterial Gradient and Arterial/Alveolar Oxygen Ratio should always be transported to the laboratory as quickly as possible after collection.
To perform a lumbar puncture, position the patient in the knee-chest position at the side of the bed. Provide pillows to support the spine or for the patient to grasp. The sitting position is an alternative. In this position, the patient must bend the neck and chest to the knees. ➤ Prepare the site (usually between L3 and L4 or L4 and L5) with povidoneiodine, and drape the area. ➤ A local anesthetic is injected. Using sterile technique, the health care practitioner inserts the spinal needle through the spinous processes of the vertebrae and into the subarachnoid space.
Highest concentrations of this enzyme are found in skeletal and cardiac muscle, liver, and pancreas. When trauma or disease causes cellular breakdown of these muscles or organs, large amounts of ALD are released into the blood. Measuring serum levels helps to determine the presence, and in some cases the progress, of disease. This test is not commonly requested because the assay of other liver enzymes and creatine kinase is generally sufficient to provide the necessary information. A. Davis Company 18 Davis’s Comprehensive Laboratory and Diagnostic Handbook—with Nursing Implications • Severe crush injuries • Tetanus ➤ • Trichinosis Decreased in: • Hereditary fructose intolerance CRITICAL VALUES: N/A INTERFERING FACTORS: • Drugs that may increase aldolase levels include aminocaproic acid, carbenoxolone, clofibrate, chlorinated and organophosphorus insecticides, labetalol, and thiabendazole.