Description
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
| ||||||||||||||||||||||||||||||
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: | |||||||||||||||||||||||||||||
Infant: Child: Adolescent: |
Explanation & Answer
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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
...