Evolution of the 2017 edition of the laboratory values interpretation. Your doctor will call them btype natriuretic peptide bnp and nterminalprobnp ntprobnp. Knowing the different normal lab values is an important step in making an informed clinical decision as a nurse. At your age, kidney function is usually starting to drop of. Using lab data in practice barry power, bscphm pharmd pharmacist, rideau family health team, ottawa adjunct assistant professor, school of pharmacy, university of waterloo. However, the use of ntprobnp as a popu lation screening tool to detect left ventricular lv dysfunction is proved to very limit 5. 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. A direct measure of oxygen carrying capacity of the blood. Essential labs to order include total and free testosterone and estradiol. 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. 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. When you have heart failure, your heart makes two proteins. Choose from 500 different sets of lab value nursing interpretation flashcards on quizlet.
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. Describe the relationship between diagnosis and lab value. Identify criteria for abnormal lab values in the nicu patient. 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. Bnp and ntprobnp understand the test lab tests online. 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.
Laboratory tests interpretation nurses learning network. Learn lab value nursing interpretation with free interactive flashcards. Schilling test oral administration of radioactive cobalaminlabeled vitamin b12 8. Diagnostic and laboratory tests are tools that provide invaluable insights and information about the patient. Lab tests are used to help confirm a diagnosis, monitor an illness, and the patients response to treatment. Juretschke, phd, rncnpt, apnnnpbc, ccns founderpresident, nicu solutions, inc.
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. Andor you may simply be physically fit and decently muscled. Integrating lab results tool for determining drugrelated problems pharmacists are the drug experts. Describe how creatinine clearance values in combination with bun and creatinine outline the renal function of an individual. Theres always the fear of messing things up and not being able to meet the patients health needs. Normal laboratory values merck manuals professional edition. A highfat diet may cause decreased pt, and alcohol can cause an increased pt result. Jan 11, 2018 getting familiar with and interpreting laboratory values can be intimidating, particularly to new nurses. When labs use different methods for testing, the results are slightly different. Listing a study does not mean it has been evaluated by the u.
Jan 15, 2017 lab results interpretation for pharmacist a. New program helps pharmacists give better patient care. Reference values vary based on several factors, including the demographics of the healthy population from which specimens were obtained and the specific methods andor. 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.
Academy of acute care physical therapy apta task force. Familiarizing and interpreting laboratory values for nurses dont always have to feel that way. Introduction pharmacists participate with the health care team and share responsibility for ensuring safe and effective drug therapy. Com is presenting a series of courses on lab values. Reference ranges and what they mean lab tests online. Issue 7 november 2006 the prognostic value of ntprobnp in. Original article diagnostic value of serum ntprobnp level. Reference values intervals for blood, urine, csf, stool, and other fluids eg, gastric acid and commonly used panels are included. Compare chronological age versus post menstrual age and gender differences as it relates to lab values. The test results will be used to assist the healthcare team your doctor, nurses, and others in evaluating your kidney function and. The medical interpretation of a test result is based on comparison to a reference.
Appendix b selected normal pediatric laboratory values 1449 growth hormone s2 after infancy fasting specimen. Selected normal pediatric laboratory values all laboratory values listed are approximate. 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. 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. The descriptions of each lab study are clearly laid out along with the studys value in arriving at a diagnosis.
Finally, line 8 combines lines 3 and 7 for each year of the benefits and costs. Neutrophil values peak at approximately six to eight hours of age in neonates born at 28 weeks gestation. Dm, stress chronic hepatic function, pancreatitis, chronic malnutrition or refeeding syndrome low. Advising clinicians on laboratory test selection and.
Laboratory values and interpretation a nurses ultimate. 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. These peptides also counteract the actions of the reninangiotensin. The listed reference ranges should be used when interpreting laboratory values. 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. A test for bnp or ntprobnp is primarily used to help detect, support diagnosis, and in some instances evaluate the severity of heart failure. Each is accompanied by a description, reference ranges for adults and pediatrics, and. Quest is accredited by the american college of pathologists and that requires maintaining good testing practices. 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. 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. Any reading from 100 900 pgml is considered abnormal and can indicate heart failure at varying levels of severity.
Each lab provides its normal ranges and that should be used as a guide. Lab tests online is an awardwinning patient education website offering information on laboratory tests. 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. The two tests are not interchangeable and should not be used together. The lab value chart in a lab value book should be clear. When combined with other tests, it can also be used to detect how much stress a heart is enduring or if damage has occurred. Interest from the pharmacists association of saskatchewan pas first indicated that cpha was on the right track about 3 years ago.
Cardiac natriuretic peptides are known to be increased in patients with hf. Issue 7 november 2006 the prognostic value of ntprobnp. Laboratory lab data is among the information that pharmacists may consider in determining the safety and effectiveness of patients treatment regimens. Ncsbn lab values at purdue university north central. This way, interpretation of abnormal sodium values focus on determining the cause of abnormal water volume. The bnp is a biologically active molecule and causes natriuresis, vasodilation, and diuresis, all of which leads to improved myocardial relaxation. The task force consisted of physical therapists from across the country in various acute care settings. Inside, find practical approaches to the interpretation of abnormal lab tests. Monitoring bnp and ntprobnp levels has been successfully used to evaluate cardiovascular. Evaluation of labs by nursing staff is a critical function. Neonatal nurse practitioner the ronald mcdonald childrens hospital at loyola university medical center objectives at.
Lab work, urine samples and other tests may be given as you undergo diagnosis and treatment for renal failure. How to interpret different lab values these values are based on mountain home lab values glucose normal 74106 mgdl high. 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. Academy of acute care physical therapy apta task force on lab values. The pic pointing to the value is blown up, its small print.
You may use the following reference to interpret the readings. The app includes a list of all of the apps built in equationscalculators and a list of references. This concise, organized guide fits easily in a coat pocket, providing you with the tools necessary to tackle even the most challenging. This is a very common lab test and is usually performed as a routine hospital admission screening test. Interpreting lab values for nurses what does the doctor say. Bnp can be very helpful in clinically well cats, to help decide how aggressive to get with further workup. 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. Lab values and their meanings forward the laboratory services are very pleased to see this report. A bnp test or ntprobnp test can be used, along with other. I have now spent the better part of an hour checking the lab values according to our class books. Mar 27, 2012 measuring the values of brain natriuretic peptide or bnp test. Dmm and read the values for the resistors by placing the red probe snap at.
Your healthcare practitioner should order one or the other but not both. The course lists common diagnostic and lab tests and values in an. Labs are indexed in alphabetical order making them easy to find. When testing a single hypothesis, one is usually concerned with controlling the false positive rate while maximizing the probability of. A manual of laboratory and diagnostic tests 7th edition. Consult your local laboratory for guidelines as to normal values for the specific testing procedures used.
Using lab values to support medication management welcome we will begin shortly. See more ideas about nursing labs, lab values, nursing notes. Learn vocabulary, terms, and more with flashcards, games, and other study tools. 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. Advising clinicians on laboratory test selection and results. 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. To obtain the net present value across all the years, you combine the amounts in each column of row 8.
Includes differential diagnoses, stepbystep approaches, and algorithms, all designed to answer your lab test questions in a flash. I dont regret this purchase, but this is a downfall. Each is accompanied by a description, reference ranges for adults and pediatrics, and followed by the significance of high or low lab values. Measuring the values of brain natriuretic peptide or bnp test. Normal values of brain natriuretic peptide in healthy newborn. This book should be of help to nursing in understanding some of the more common tests which are conducted.