Date 07/23/07

Basic Tests with Normal Values Complete Blood Count

Rationale A complete blood count (CBC) provides important information about the kinds and number of cells in the blood especially red blood cells and platelets. A complete blood count may be done as part of a routine of physical examination. A blood count can provide valuable information about the general state of the patients health. To supply figures for computing the erythrocytic indices, which reveal RBC size and hemoglobin content.

Result

Clinical Significance

Nursing Interventions 1. Explain to the patient that hgb test is used to detect Anemia or to assess his response to treatment. 2. Tell the patient that a blood sample will be taken. Explain who will perform the venipuncture and when. 3. Explain to the patient that she may feel slight discomfort from the needle puncture and the tourniquet. 4. Monitor vital signs. 5. Tell the patient that he needs not restrict foods and

Hemoglobin: M: 140-180 g/dL F: 120-160 g/dL

To determine infection or inflammation. To determine the need for further tests. Measure the amount of Hemoglobin found in a deciliter (dL or 100 mL) of whole blood.

122 g/dl NORMAL

Erythrocyte: M: 4.5-5.0x 10^12/L F: 4.0-5.0x 10^12/L

4.28 10^12/L NORMAL

Leukocytes: 5.0-10 x 10^9/L

Measures the degree of erythrocyte settling in the blood sample during a specified period.

2.0 10^9/L LOW

Levels decreased with fluids. reduced RBC production, blood loss, PRE: and hemolysis. Levels may appear decreased Explain that when hemoglobin is this test abnormal. The measures a part hemoglobin level is of the blood usually approximately that carries one third of the oxygen hematocrit; variations Explain that in this relationship this test also may indicate helps to assess intervening variables the bodys affecting the accuracy ability to fight of one test or the other. infection, to tell Increased level: the difference Erythrocytosis, between allergy Hemoglobinopathies, and infection. CHD, Severe COPD, Dehydration POST Decreased level: Anemia, Apply Hemoglobinopathies, pressure cirrhosis, bone marrow (direct failure, renal disease digitalis) to Elevated in acute the arterial infections disease, and puncture in the lymphocytic and site for at monocytic fractions in

This determines the number of circulating WBCs per cubic millimeter of whole blood. Lymphocytes: 0.55-0.65%

0.42% LOW

viral disease, allergy, and intestinal parasitosis. Elevated in acute leukemia, following menstruation, and following surgery or trauma, agranulocytosis and by toxic agents such as chemotherapeutic agents used in treating malignancy. Increased Level: Hemorrhage, acute infection, epithelial cancer and splenectomy. Decreased level: Leukemia, aplastic and iron deficiency anemia, may also include severe debilitating illness such as renal failure. Increased level: May indicate infection, trauma, stress, hemorrhage or dehydration

least 5 minutes then apply a pressure bandage Observe site for hematoma or bleeding Encourage rest periods for client experiencin g fatigue Monitor VS and I & O

Monocytes: 0.02-.06 %

Important in humoral in cell mediated immunity, lymphocytes are produced in the lymph nodes, spleen, thymus, tonsils and lymphoid tissue of

0.10% HIGH

Neutrophils: 0.55-0.65%

the gut. Together with the neutrophils they make up the majority white cells in the peripheral blood. The bodys second line of defense, monocytes arrive at infection sites in smaller numbers than neutrophils.

0.40% LOW

Decreased level: May indicate drug toxicity, anemia cancer and viral diseases. Increased level: May indicate infection, ischemic necrosis, metabolic disorders, stress response or inflammatory disease. Decreased level: May signal drug toxicity and bone marrow infiltration. Increased level: They are generally unaltered in an infectious process but it is increased during parasitic infection. Increased level: Leukemia and other pathologic alterations in bone marrow production may give rise to an increase in basophils.

0.08% HIGH Eosinophils: 0.01-0.05% More than half the white cells in the peripheral circulation are neutrophils, because they quickly kill significant quantities of microorganism. It is the bodys first line of defense against infection. 0.00% NORMAL

Basophils: 0.000-0.005% 7/24/07 @ 12 NOON Hematocrit: M: 0.40-0.48 F: 0.37-0.45

0.37 NORMAL

A cell containing granules that are easily stained by eosin or other acid dyes, especially a type of white blood cell. Thrombocytes: 150.0-300.0 x 10^9/L A cell especially a white blood cell that stains readily with a basic dye. A white blood cell having basophilic granules in the cytoplasm. The volume of the red cells, (erythrocytes) in the blood, expressed the fraction of the total volume of the blood. Centrifuging the blood in the tube and measuring the height of the blood in the tube and measuring the height of the red

Increased level: Suggests polycythemia or hemoconcentration caused by blood loss. 53.0 LOW Decreased level: May indicate anemia or hemodilution.

Explain to the patient that HCT is a test used to detect anemia and other abnormal blood conditions

7/24/07 @ 6 PM Hematocrit: M: 0.40-0.48 F: 0.37-0.45

.39 NORMAL

Increased level: Polycythemia vera, Iron deficiency anemia, Post splenectomy syndrome.

Increased level: Suggests polycythemia or hemoconcentration caused by blood loss. 42.0 LOW Decreased level: May indicate anemia or hemodilution.

Thrombocytes:

150.0-300.0 x 10^9/L 7/25/07 @ 12:00 MIDNIGHT Hematocrit: M: 0.40-0.48 F: 0.37-0.45

Thrombocytes: 150.0-300.0 x 10^9/L 7/25/07 @ 6 AM

Hematocrit:

cell column as the fraction of the total determine it. A disc shaped structure, 1-2mm in diameter present in blood. With romanovsky stains platelet appear as fragments of pale blue cytoplasm with neutrophils The volume of the red cells, (erythrocytes) in the blood, expressed the fraction of the total volume of the blood. Centrifuging the blood in the tube and measuring the height of the blood in the tube and measuring the height of the red cell column as the fraction of the total determine it. A disc shaped structure, 1-2mm in diameter present in

.40 NORMAL

Increased level: Polycythemia vera, Iron deficiency anemia, Post splenectomy syndrome.

55.0 LOW

Increased level: Suggests polycythemia or hemoconcentration caused by blood loss. Decreased level: May indicate anemia or hemodilution.

.39 NORMAL

Increased level: Polycythemia vera, Iron deficiency anemia, Post splenectomy syndrome.

M: 0.40-0.48 F: 0.37-0.45

Thrombocytes: 150.0-300.0 x 10^9/L 7/25/07 @ 6 PM

Hematocrit: M: 0.40-0.48 F: 0.37-0.45

blood. With romanovsky stains platelet appear as fragments of pale blue cytoplasm with neutrophils The volume of the red cells, (erythrocytes) in the blood, expressed the fraction of the total volume of the blood. Centrifuging the blood in the tube and measuring the height of the blood in the tube and measuring the height of the red cell column as the fraction of the total determine it. A disc shaped structure, 1-2mm in diameter present in blood. With romanovsky stains platelet appear as fragments of pale blue cytoplasm with neutrophils

63.0 LOW

Increased level: Suggests polycythemia or hemoconcentration caused by blood loss. Decreased level: May indicate anemia or hemodilution.

0.38 NORMAL Increased level: Polycythemia vera, Iron deficiency anemia, Post splenectomy syndrome

64.0 LOW

Increased level: Suggests polycythemia or hemoconcentration caused by blood loss.

7/26/07 @ 6 PM

Thrombocytes: 150.0-300.0 x 10^9/L

Hematocrit: M: 0.40-0.48 F: 0.37-0.45

7/26/07 @ 5 PM

Thrombocytes: 150.0-300.0 x 10^9/L

The volume of the red cells, (erythrocytes) in the blood, expressed the fraction of the total volume of the blood. Centrifuging the blood in the tube and measuring the height of the blood in the tube and measuring the height of the red cell column as the fraction of the total determine it. A disc shaped structure, 1-2mm in diameter present in blood. With romanovsky stains platelet appear as fragments of pale blue cytoplasm with neutrophils The volume of the red cells, (erythrocytes) in the blood, expressed the fraction of the

0.38 NORMAL

Decreased level: May indicate anemia or hemodilution.

Increased level: Polycythemia vera, Iron deficiency anemia, Post splenectomy syndrome 85.0 LOW Increased level: Suggests polycythemia or hemoconcentration caused by blood loss. 0.37 NORMAL Decreased level: May indicate anemia or hemodilution.

Increased level: Polycythemia vera, Iron deficiency

Hematocrit: M: 0.40-0.48 F: 0.37-0.45

Thrombocytes: 150.0-300.0 x 10^9/L

total volume of the blood. Centrifuging the blood in the tube and measuring the height of the blood in the tube and measuring the height of the red cell column as the fraction of the total determine it. A disc shaped structure, 1-2mm in diameter present in blood. With romanovsky stains platelet appear as fragments of pale blue cytoplasm with neutrophils The volume of the red cells, (erythrocytes) in the blood, expressed the fraction of the total volume of the blood. Centrifuging the blood in the tube and measuring the height of the blood in the tube

anemia, Post splenectomy syndrome 114.0 LOW Increased level: Suggests polycythemia or hemoconcentration caused by blood loss. Decreased level: May indicate anemia or hemodilution.

Increased level: Polycythemia vera, Iron deficiency anemia, Post splenectomy syndrome

and measuring the height of the red cell column as the fraction of the total determine it. A disc shaped structure, 1-2mm in diameter present in blood. With romanovsky stains platelet appear as fragments of pale blue cytoplasm with neutrophils The volume of the red cells, (erythrocytes) in the blood, expressed the fraction of the total volume of the blood. Centrifuging the blood in the tube and measuring the height of the blood in the tube and measuring the height of the red cell column as the fraction of the total determine it. A disc shaped

structure, 1-2mm in diameter present in blood. With romanovsky stains platelet appear as fragments of pale blue cytoplasm with neutrophils