Introduction pharmacists participate with the health care team and share responsibility for ensuring safe and effective drug therapy. When combined with other tests, it can also be used to detect how much stress a heart is enduring or if damage has occurred. Juretschke, phd, rncnpt, apnnnpbc, ccns founderpresident, nicu solutions, inc. Your doctor will call them btype natriuretic peptide bnp and nterminalprobnp ntprobnp. The listed reference ranges should be used when interpreting laboratory values. Schilling test oral administration of radioactive cobalaminlabeled vitamin b12 8. Theres always the fear of messing things up and not being able to meet the patients health needs. Familiarizing and interpreting laboratory values for nurses dont always have to feel that way. See more ideas about nursing labs, lab values, nursing notes.
Includes differential diagnoses, stepbystep approaches, and algorithms, all designed to answer your lab test questions in a flash. Although the reports we receive often indicate high or low values, understanding the true meaning of these values in the context of the patients condition, history and other factors is critical to safe care of the patient. This patient had a normal value of 57 normal below 100 mcgdl so the owner was relieved and it was a nice test for her spec ific case. Jan 11, 2018 getting familiar with and interpreting laboratory values can be intimidating, particularly to new nurses.
A bnp test or ntprobnp test can be used, along with other. Diagnostic and laboratory tests are tools that provide invaluable insights and information about the patient. Jan 15, 2017 lab results interpretation for pharmacist a. Neonatal nurse practitioner the ronald mcdonald childrens hospital at loyola university medical center objectives at the end of this lecture, the participant will be able to. A direct measure of oxygen carrying capacity of the blood. Reference values vary based on several factors, including the demographics of the healthy population from which specimens were obtained and the specific methods andor. New program helps pharmacists give better patient care with. Issue 7 november 2006 the prognostic value of ntprobnp. Lab tests online is an awardwinning patient education website offering information on laboratory tests. When labs use different methods for testing, the results are slightly different.
An lpn should understand the rationale for conducting specific diagnostic and laboratory tests when delivering care, as well as the implications of the results of those tests. Describe how creatinine clearance values in combination with bun and creatinine outline the renal function of an individual. Laboratory values and interpretation a nurses ultimate. Since sodium is reported per liter of plasma water, when a sodium value is abnormal, you must determine if it is the sodium that is altered or the bodys water content is altered traub, 1996. When you have heart failure, your heart makes two proteins. Integrating lab results tool for determining drugrelated problems pharmacists are the drug experts. Finally, line 8 combines lines 3 and 7 for each year of the benefits and costs. The app includes a list of all of the apps built in equationscalculators and a list of references. New program helps pharmacists give better patient care. Essential labs to order include total and free testosterone and estradiol. Appendix b selected normal pediatric laboratory values 1449 growth hormone s2 after infancy fasting specimen. Lab values and their meanings forward the laboratory services are very pleased to see this report. Compare chronological age versus post menstrual age and gender differences as it relates to lab values. The lab value chart in a lab value book should be clear.
Evolution of the 2017 edition of the laboratory values interpretation. Com is presenting a series of courses on lab values. You may use the following reference to interpret the readings. Laboratory lab data is among the information that pharmacists may consider in determining the safety and effectiveness of patients treatment regimens. Dm, stress chronic hepatic function, pancreatitis, chronic malnutrition or refeeding syndrome low. Knowing the different normal lab values is an important step in making an informed clinical decision as a nurse. Laboratory tests interpretation nurses learning network. I dont regret this purchase, but this is a downfall. Andor you may simply be physically fit and decently muscled. The course lists common diagnostic and lab tests and values in an.
Academy of acute care physical therapy apta task force. Advising clinicians on laboratory test selection and. Using lab values to support medication management welcome we will begin shortly. Inside, find practical approaches to the interpretation of abnormal lab tests. Reference values intervals for blood, urine, csf, stool, and other fluids eg, gastric acid and commonly used panels are included. Identify criteria for abnormal lab values in the nicu patient. Choose from 500 different sets of lab value nursing interpretation flashcards on quizlet. Normal values of brain natriuretic peptide in healthy newborn the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Learn lab value nursing interpretation with free interactive flashcards.
Cardiac natriuretic peptides are known to be increased in patients with hf. I have now spent the better part of an hour checking the lab values according to our class books. Advising clinicians on laboratory test selection and results. Dmm and read the values for the resistors by placing the red probe snap at. Quest is accredited by the american college of pathologists and that requires maintaining good testing practices. These peptides also counteract the actions of the reninangiotensin. Monitoring bnp and ntprobnp levels has been successfully used to evaluate cardiovascular. Neutrophil values peak at approximately six to eight hours of age in neonates born at 28 weeks gestation. Describe the relationship between diagnosis and lab value. Lab testsordering, monitoring and interpreting laboratory tests to optimize medication management is a response to some provinces increasing pharmacist authority to order lab tests or access lab results.
Your healthcare practitioner should order one or the other but not both. The two tests are not interchangeable and should not be used together. Using lab data in practice barry power, bscphm pharmd pharmacist, rideau family health team, ottawa adjunct assistant professor, school of pharmacy, university of waterloo. Understanding the probnp blood test results the btype natriuretic peptide bnp is a biomarker that is used to diagnose or evaluate the severity of a heart failure incident. This concise, organized guide fits easily in a coat pocket, providing you with the tools necessary to tackle even the most challenging. The most common is the bluetop tube, the specimen must be tested within 4 hours of collection and is usually packed in ice and delivered to the lab quickly. Each lab provides its normal ranges and that should be used as a guide. Mar 27, 2012 measuring the values of brain natriuretic peptide or bnp test. Selected normal pediatric laboratory values all laboratory values listed are approximate. This book outlines the 63 must know lab values for nurses to help them prepare for the nclex and care for patients on the floor.
Interpreting lab values for nurses what does the doctor say. Ncsbn lab values at purdue university north central. Reference ranges and what they mean lab tests online. Listing a study does not mean it has been evaluated by the u. The reference values provided in these tables should be used as guidelines only. Labs are indexed in alphabetical order making them easy to find. Lab work, urine samples and other tests may be given as you undergo diagnosis and treatment for renal failure. The medical interpretation of a test result is based on comparison to a reference. The national council of state boards of nursing ncsbn is a notforprofit organization whose purpose is to provide an organization through which boards of nursing act and counsel together on matters of common interest and concern affecting the public health, safety and welfare, including the development of licensing examinations in nursing.
Lab tests are used to help confirm a diagnosis, monitor an illness, and the patients response to treatment. This is a very common lab test and is usually performed as a routine hospital admission screening test. However, the use of ntprobnp as a popu lation screening tool to detect left ventricular lv dysfunction is proved to very limit 5. The test results will be used to assist the healthcare team your doctor, nurses, and others in evaluating your kidney function and. Learn vocabulary, terms, and more with flashcards, games, and other study tools. This book should be of help to nursing in understanding some of the more common tests which are conducted. Table b8 interpretation of lab values continued value normal range purpose or comment increased in decreased in 0 616 mg24 h 2070 meql 260950 somogyi units24 h 250 mg24 h 10100 gdl males 20 years old. Any reading from 100 900 pgml is considered abnormal and can indicate heart failure at varying levels of severity. A highfat diet may cause decreased pt, and alcohol can cause an increased pt result. To obtain the net present value across all the years, you combine the amounts in each column of row 8. By comparing your test results with reference values, you and your healthcare provider can see if any of your test results fall outside the range of expected values and gain clues to help identify possible conditions or diseases. Each is accompanied by a description, reference ranges for adults and pediatrics, and followed by the significance of high or low lab values. The task force consisted of physical therapists from across the country in various acute care settings. A manual of laboratory and diagnostic tests 7th edition.
The descriptions of each lab study are clearly laid out along with the studys value in arriving at a diagnosis. Lab test are integral to patient care and depend on cooperation and support of ward staff for accurate and timely interpretation of the results. Normal laboratory values merck manuals professional edition. Evaluation of labs by nursing staff is a critical function. The prognostic value of ntprobnp in chronic heart failure chronic heart failure hf is generally accompanied by a progressive activation of compensatory neurohormonal systems that contribute to the worsening of the symptoms. Normal values of brain natriuretic peptide in healthy newborn. Bnp and ntprobnp understand the test lab tests online. Neonatal nurse practitioner the ronald mcdonald childrens hospital at loyola university medical center objectives at. Clinical implications with interpretation of abnormal findings, unexpected outcomes, and disease patterns interventions for pretest patient preparation medications, fasting, explanation of benefits and risks, intratest patient care appropriate monitoring, conscious sedation, and posttest patient aftercare includes monitoring. Advising clinicians on laboratory test selection and results interpretation with a diagnostic management team michael laposata, md, phd edward and nancy fody professor of pathology vanderbilt university school of medicine pathologist in chief, vanderbilt university hospital. This way, interpretation of abnormal sodium values focus on determining the cause of abnormal water volume.
Issue 7 november 2006 the prognostic value of ntprobnp in. Academy of acute care physical therapy american physical therapy association task force on lab values took on the mission of updating the laboratory values interpretation resource to better accommodate practitioners needs. The pic pointing to the value is blown up, its small print. On line 3 is the present value of each of the future annual benefits, and line 7 has the present value of the future operating costs. A reference range is a set of values that includes upper and lower limits of a lab test based on a group of otherwise healthy people. At your age, kidney function is usually starting to drop of. Interest from the pharmacists association of saskatchewan pas first indicated that cpha was on the right track about 3 years ago. Original article diagnostic value of serum ntprobnp level. Doctors give unbiased, helpful information on indications, contraindications, benefits, and complications.
The bnp is a biologically active molecule and causes natriuresis, vasodilation, and diuresis, all of which leads to improved myocardial relaxation. Measuring the values of brain natriuretic peptide or bnp test. Bnp can be very helpful in clinically well cats, to help decide how aggressive to get with further workup. Academy of acute care physical therapy apta task force on lab values. Nov 15, 2019 the normal actions of the natriuretic peptides are to aid the heart in dealing with the state of volume overload and stretch.
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