Sample Care Plan Template Page 28

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MB is both a sensitive and specific
marker for myocardial infarction. MB
usually becomes abnormal three to four
None available in patient’s
>5% in
None available in patient’s chart.
CK-MB
hours after an MI, peaks in 10–24 hours,
MI
chart.
and returns to normal within 72 hours
(Chabner, 2011).
The test measures the amount of time it
Prothrombin
9.4-12.0
Patient’s values within normal limits.
takes blood to clot (Chabner, 2011, p.
2/12/13: 9.6; 2/13/13: 11.2
Time (PT)
seconds
991).
International
This test is for the amount of time it takes
0.8-1.0
High INR can indicate an increased clotting
Normalized
2/12/13: 0.9; 2/13/13: 1.1 (H)
blood to clot (Chabner, 2011, p. 991).
INR
time. Elevation not significant.
Ratio (INR)
Activate
This test for clotting factors in the blood
Partial
None available in patient’s
and can be related to see what heparin
25.6-
None available in patient’s chart.
Thromboplast
levels are in a person’s blood (Chabner,
36.7 s
chart.
in time
2011, p. 991).
(APTT)
The patient was diagnosed with transaminitis
upon admission. Transaminitis is an increase
2/1
2/1
2/1
Is an enzyme mainly found in the liver;
in liver enzymes (ALT, AST, ALP) that
2/1
2/1
2/1
7 to 72
2
3
6
ALT
the best test for detecting hepatitis
usually indicate liver damage and unspecified
7
8
9
123
93
83
U/L
66
64
68
(Chabner, 2011).
hepatitis (Chabner, 2011). The patient also
(H)
(H)
(H)
was diagnosed with mild hepatitis and
abdominal CT showed patient had a fatty liver.
The patient was diagnosed with transaminitis
upon admission. Transaminitis is an increase
Is an enzyme found in the liver and a few
in liver enzymes (ALT, AST, ALP) that
other places, particularly the heart and
8 to 55
122
93
97
AST
usually indicate liver damage and unspecified
59
42
51
other muscles in the body (Chabner,
U/L
(H)
(H)
(H)
hepatitis (Chabner, 2011). The patient also
2011).
was diagnosed with mild hepatitis and
abdominal CT showed patient had a fatty liver.
Is an enzyme related to the bile ducts;
The patient was diagnosed with transaminitis
45 to
212
154
101
ALP
often increased when they are blocked
upon admission. Transaminitis is an increase
99
81
98
115 U/L
(H)
(H)
(H)
(Chabner, 2011).
in liver enzymes (ALT, AST, ALP) that
Page 28
F:\group\MEPN\MEPN Level III\NURS610B\2013NURS 610B\610BCarePlan
12/17/2012

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