Sample Care Plan Template Page 29
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51usually indicate liver damage and unspecified
hepatitis (Chabner, 2011). The patient also
was diagnosed with mild hepatitis and
abdominal CT showed patient had a fatty liver.
This test is used to help diagnose and
50 – 150
monitor acute or chronic pancreatitis and
Amylase/Lipa
2/12/13: 150
Patient test was within normal limits.
other disorders that may involve the
U/dL
se
pancreas (Chabner, 2011).
This test for issues in the kidneys.
Color
Pale yellow to amber
The patient did not have a urinalysis on file.
No urinalysis; toxic screen was
The patient’s had a toxicology screen that was
Urinalysis
Turbidity
Clear to slightly hazy
negative
negative.
Specific Gravity 1.015-1.025
pH
4.5-8.0
This test for the level of oxygen and
carbon dioxide in the blood (Chabner,
ABGs
2011).
pH
7.366
The patient is diagnosed with metabolic
7.365
7.369
Arterial
Venous
alkalosis and his ABG’s have to be monitored.
pO2
111.5
85.5
101.7 (H)
pCO2
(H)
The results suggested compensation or a
7.35 - 7.45 7.32 - 7.42
47.6 (H)
57.8 (H)
HCO3
41.8
mixed blood gas results. I asked about the
26.6 (H)
32.6 (H)
35 - 45
38 - 52
BE
23.4
ABG lab values and if they were significant
0.9
6.2
On RA, %
-1.8
and was told it was not being considered at
70 – 100
28 - 48
96.1
97.4
O2, vent
97.9
this time.
19 - 25
19 - 25
settings
90 - 95
40 - 70
None available in patient’s
None available in patient’s chart.
TB test
Test for tuberculosis.
chart.
A lactic acid test is a blood test that
High lactic acid can be an indication of liver
0.4 - 2.3
2/12: 3.8
2/13:
measures the level of lactic acid made in
2/15: 1.2
damage and the patient was diagnosed with
Lactic acid
mEq/L
(H)
1.7
the body (Chabner, 2011).
hepatitis and transaminitis. His lab values are
Page 29
F:\group\MEPN\MEPN Level III\NURS610B\2013NURS 610B\610BCarePlan
12/17/2012
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