This latest addition to the Smeltzer Brunner and Suddarth's suite is a concise, transportable, full-color instruction manual of 1000's of attempt effects and their implications. The two-part presentation encompasses a assessment of specimen assortment systems via an alphabetical record of exams. The access on every one try out contains instruction, interfering components, common values, irregular values, easy-to-identify drawback values, reference values, nursing issues, and nursing implications.
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Extra resources for Brunner and Suddarth's Handbook of Laboratory and Diagnostic Tests
Provide these additional instructions: ° Withhold drugs that alter fluid, sodium, and potassium balance (especially diuretics, antihypertensives, steroids, hormonal contraceptives, and estrogens) for at least 2 weeks or, preferably, for 30 days before the test, as ordered. ° Withhold all renin inhibitors for 1 week before the test, as ordered. ° Avoid licorice for at least 2 weeks before the test because it produces an aldosteronelike effect. • If renin inhibitors must be continued, note this information on the laboratory request.
Prepare the patient for additional liver function studies to identify hepatobiliary disorders. • Educate the patient about his disease and possible treatment options. Decreased Levels • Hypophosphatasia (rarely) • Protein or magnesium deficiency (rarely) • Hypothyroidism Nursing Implications • Report abnormal findings to the practitioner. • Educate the patient about his disease and possible treatment options. Purpose 30 to 85 international units/mL (SI, 42–128 units/L) • To detect and identify skeletal diseases primarily characterized by marked osteoblastic activity • To detect focal hepatic lesions causing biliary obstruction, such as a tumor or an abscess • To assess the patient’s response to vitamin D in the treatment of rickets • To supplement information from other liver function studies and GI enzyme tests Abnormal Findings Description Elevated Levels • Skeletal disease • Extrahepatic or intrahepatic biliary obstruction • Active cirrhosis • Mononucleosis • Viral hepatitis The alkaline phosphatase (ALP) test is used to measure serum levels of ALP, an enzyme that influences bone calcification as well as lipid and metabolite transport.
Check the venipuncture site to see if a hematoma has developed. If one has, apply pressure until you’re sure the bleeding has stopped. • Discard syringes, needles, and used gloves in the appropriate containers. • Label all collection tubes clearly with the patient’s name and room number, the practitioner’s name, and the date and time of collection. Special Considerations • Today, many manufacturers make safety-engineered blood collection sets. If available in your facility, use a safety set to prevent needle sticks.