Interpretation of Common Diagnostic Labs in Pediatric Primary Care

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Assignment: Interpretation of Common Diagnostic Labs in Pediatric Primary Care

Note: I am a nurse practitioner student doing my clinical practice in a pediatric office

APA style. at least 5 references no older than 5 years.

Nurse practitioners routinely order labs for a variety of reasons. Some labs are recommended as part of a certain wellness check. Some labs are tested at birth and repeated at regular intervals. Many labs are ordered to rule in or rule out a diagnosis or just to add to an objective data base along with physical examination, vital signs, image studies, etc. Some of the labs can be done at the point of care (POC) such as an Accu-Check®. Most all labs require a venous blood sample but may require different additives that are in the collection tube. Other samples include arterial blood, urine, sputum, spinal fluid, or exudate.

In Course Documents, you will find the “Unit 7 Assignment Template” that you will use to complete this Assignment. It is organized to include information about a common lab test that you will be completing in pediatric primary care. Please fill in the requested information. It is highly recommended that you keep this information with you during clinical as a reference.Unit 7 Assignment Template

Common laboratory diagnostics in primary pediatric care settings.

Lab Test

Normal Range for pediatric patients per age range

What does a High Level Indicate

What does a Low Level Indicate

Why would this test be ordered? (give a minimum of three)

BUN

Infant:

Child:

Adolescent

Creatinine

Infant:

Child:

Adolescent:

Urine Analysis Dip Stick

  • pH
  • leuokocytes
  • Nitrite
  • Protein
  • Glucose
  • Specific Gravity
  • Blood
  • Ketones

RBCs

Infant:

Child:

Adolescent:

HGB

Infant:

Child:

Adolescent:

HCT

Infant:

Child:

Adolescent:

Platelets

Infant:

Child:

Adolescent:

Reticulocytes

Infant:

Child:

Adolescent:

WBCs

Infant:

Child:

Adolescent:

neutrophils

Infant:

Child:

Adolescent:

Bands

Infant:

Child:

Adolescent:

eosphinils

Infant:

Child:

Adolescent:

lymphocytes

Infant:

Child:

Adolescent:

monocytes

Infant:

Child:

Adolescent:

Basophils

Infant:

Child:

Adolescent:

Hgb A1c

Infant:

Child:

Adolescent:

Normal blood lead level

Infant:

Child:

Adolescent:

Sweat chloride test

Infant:

Child:

Adolescent:

Potassium

Infant:

Child:

Adolescent:

Sodium

Infant:

Child:

Adolescent:

Fasting Blood glucose

Infant:

Child:

Adolescent:

Calcium

Infant:

Child:

Adolescent:

TSH

Infant:

Child:

Adolescent:

T3

Infant:

Child:

Adolescent:

Free T 4

Infant:

Child:

Adolescent:

Oxygen saturation

Infant:

Child:

Adolescent:

Serum pH

Infant:

Child:

Adolescent:

Emergency O2 sat

Infant:

Child:

Adolescent:

Life threatening O2 sat

Infant:

Child:

Adolescent:

magnesium

Infant:

Child:

Adolescent:

Alanine Aminotransferase (ALT)

Infant:

Child:

Adolescent:

Aspartate Aminotransferase (AST)

Infant:

Child:

Adolescent:

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Running head: INTERPRETATION OF COMMON DIAGNOSTIC

Interpretation of common diagnostic
Name
Institution
Date

1

2

INTERPRETATION OF COMMON DIAGNOSTIC
Lab Test

Normal Range
for pediatric
patients per age
range

What does high
level indicate

BUN

Infant

High protein diet Malnutrition

Child

Renal failure

Adolescent

Fever and
catabolism
Severe kidney
impairment
urinary tract
obstruction

Creatinine

Infant
Child

Urine Analysis
Dip Stick

What does low
level indicate

Hepatic disease

Severe weight
loss
Malnutrition

Adolescent

Dehydration

Muscular
dystrophy

pH

infection with
urease-splitting
organisms and
formation of
stag-horn calculi

Leucocytes

drugs or foods
that color urine

Systemic
acidosis, high
protein diet,
malabsorption
and
phenylketonuria
proteinuria

Nitrite

N/A

N/A

Protein

Glomerular
disease, fever,
stress
Elevated serum
levels

N/A

Glucose

Specific Gravity

Blood

Dehydration,
renal artery
stenosis, and
glycosuria
Hematuria from
trauma, clotting
disorders or
chronic infection

Hydrogen
peroxide or
bleach
Renal failure,
diabetic
insipidus, and
pyelonephritis

Why would this
test be ordered?
(give a
minimum of
three)
Diagnosis for
proteinuria
Determine the
treatment

Determine for
kidney disease
Determine
neuromuscular
disorder
Trace for a
blocked urinary
tract
To screen for
diabetes
Test for
pregnancy for an
adolescent.
Determines the
presence of
whole or lysed
white cells
Determine
bacterial
infection

Determine for
glycosuria,
Determine
kidney
performance
Detect
haemolysed
blood in the

3

INTERPRETATION OF COMMON DIAGNOSTIC

RBCs

HGB

HCT

Ketone

Presence of
drugs

Infants
Child
Adolescent

Polycythemia
Congenital heart
diseases
Erythrocytosis

Ketonuria,
starvation
and diabetes
Anemia
Bone marrow
failure
Hemolysis

Infant

Polycythemia

Iron deficiency

Child

Heart failure

Adolescent

High altitude

Vitamin B-12
deficiency
Hypothyroidism

Infant

congenital heart
diseases

Anemia

Child

pulmonary
fibrosis
Erythrocytosis

Low percentage
of red blood
Nutritional
problems

Infants

Can predispose
to thrombosis

Excess bleeding
in case of a cut

Child

Iron deficiency
anemia

Vitamin B-12
deficiency

Adolescent

Adrenaline

Aplastic anemia

Infants

hemolytic
disease in a
newborn
Hemolytic
anemia

Anemia

Acute bleeding

Anemia

Adolescent

Platelets

Reticulocytes

Child

Adolescent

Bone marrow
failure

urine, nonhaemolysed
Determine
metabolism
effectiveness,
Anemia testing,
Park and
transport oxygen
Abnormalities in
bone marrow
Determine the
amount of
hemoglobin in
the blood
Check for an
overall health
Diagnose a
medical
condition
Determines the
percentage of
red blood cells
Determine the
treatment
Determine for
mineral
deficiency
The ability of
blood to clot,
prevent bleeding
Determine the
number of
platelets
Determine the
required
diagnosis
For immature
red blood cells
Determine the
effectiveness of
the bone marrow
To distinguish
between
different types of
anemia

4

INTERPRETATION OF COMMON DIAGNOSTIC
WBCs

Infants

Infection
Sickle-cell
disease

Neutrophils

Child

Bacterial
infection

Infection of the
bone marrow

Adolescent

A disease of the
bone marrow

Inflammation
leukopenia

Infants

leukemia

Infection

Child

Bacterial
infection
steroid use

immune system
disorder
Aplastic anemia

Infant

Inflammation of
the body

Immature
neutrophils

Child

Infection

N/A

Adolescent
Infant

Tissue damage
Asthma

Child

severe allergic
reactions

N/A
Parasite
infection
Extreme allergic
reaction
...


Anonymous
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