HEMATOLOGY TEST

DETERMINANTS

ACTUAL VALUES

NORMAL VALUES

SIGNIFICANCE

WBC count

15.2

Newborn 9.0-30.0x10 9/L

Increase WBC indicates

infection in the body.

Hematocrit

Hemoglobin

Segmenters

0.29

92

0.40

Newborn 0.51-0.60

Newborn 160-230 mg/dL

Decreased hematocrit it indicates that the

mass of rbc is decreased.
Decreased hemoglobin indicates will result
to decrease of oxygen supply to the body
due to bilirubin in the bloodstream that is
trying to get out.

0.45-0.77

Decrease segementers indicate an anemia.

Increase lymphocytes indicate infection in
the body.

Lymphocytes

0.45

0.20-0.40

Monocytes

0.11

0.03-0.08

Increased signify a chronic infection like

your tuberculosis or a chronic
inflammation condition like your
inflammatory bowel disease and
malignancy.

Eosinophils

0.02

0.01-0.03

Normal

NURSING RESPONSIBILITIES
Provide information on: sources of infection,
measures to prevent the spread, explain the
administration of antibiotics, diagnostic
examination.
-administer antibiotics as ordered and
provide management of pain through the
delivery of prescribed drugs
-Patient teaching is indicated to promote selfadvocacy so the client may prevent future
infections.
-encourage to eat nutritious foods such as
foods rich in vitamin C

Basophils

0.01

0.0-0.01

Normal

CLINICAL CHEMISTRY
DETERMINANTS

ACTUAL VALUES

NORMAL VALUES

SIGNIFICANCE

Total Bilirubin

Direct Bilirubin

Indirect Bilirubin

27.8

0.45

27.35

1.0-10.5 mg/dl

<12mg / dL ( Newborn)

<0.61 mg/ dL

URINALYSIS

Increase destruction of RBC resulting in increase unconjugated

and conjugated bilirubin.
A high total bilirubin level with a normal or only slightly
increased direct bilirubin level means that most of the bilirubin
in the blood has not been processed by the liver

A person has premature destruction of many red blood cells.

This condition is called hemolytic anemia. Millions of damaged red
cells release large amounts of hemoglobin that rapidly change to
unconjugated (indirect) bilirubin. The liver cant process such a huge
load. So, most of the total bilirubin is indirect bilirubin.

EXAM

NORMAL VALUE

ACTUAL VALUE

INTERPRETATION

SIGNIFICANCE

NURSING INTERVENTION

Clear yellow/straw;
clear and pale to deep
yellow

Dark yellow

Normal

When urine coloris different other

than yellow for example red,it may
indicate presence of renal disease.

-Monitor input and output

characteristics of the urine.

PHYSICAL
EXAMINATION:
COLOR

-Determine the patient's voiding

patterns

REACTION

Acidic

Acidic

Normal

Normal urine is acidic in reaction but

become alkine it may be caused by
the decomposition of bacterial action
thus it indicates infection in some of
urinary tract.
This shows the concentrating and
diluting ability of the kidney. If it is
increase then dehydration is
suspected.

SPECIFIC GRAVITY
1.002-1.035

1.010

Normal

The appearance of albumin in urine is

not normal. It may reflect a UTI and
kidney problem.
CHEMICAL EXAM:

-Encourage increased fluid intake

-Monitor laboratory tests:

electrolytes, creatinine

-Provide information on: sources

of infection, measures to prevent
the spread, explain the
administration of antibiotics,
diagnostic examination.
-administer antibiotics as ordered
and provide management of pain
through the delivery of prescribed
drugs
-patient teaching is indicated to
promote self-advocacy so the
client may prevent future
infections.

SUGAR
Negative

Negative

Normal

Negative

Trace

Abnormal

ALBUMIN

MICROSCOPIC
EXAMINATION:

The amount of epithelial cells in the

urine increases when someone has a
urinary tract infection or some other
cause of inflammation.

PUS CELLS
0-4/hpf

1-3

Normal

URATES/P04
++

EPITHELIALCELLS

Pus in urine signifies that the body is

fighting an infection in the lower or
upper urinary tract.

Few
+

Normal