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Applying Current Evidence Based Practice Guidelines

Assignment: Interpretation of Common Diagnostic Labs in Pediatric Primary Care

Nurse practitioners routinely order labs for a variety of reasons. Some labs are recommended as part of a certain wellness check. Some labs are tested at birth and repeated at regular intervals. Many labs are ordered to rule in or rule out a diagnosis or just to add to an objective data base along with physical examination, vital signs, image studies, etc. Some of the labs can be done at the point of care (POC) such as an Accu-Check®. Most all labs require a venous blood sample but may require different additives that are in the collection tube. Other samples include arterial blood, urine, sputum, spinal fluid, or exudate.

You will find the “Unit 7 Assignment Template” that you will use to complete this Assignment. It is organized to include information about a common lab test that you will be completing in pediatric primary care.

Unit 7 Assignment Template

Common laboratory diagnostics in primary pediatric care settings.

Lab Test Normal Range for pediatric patients per age range What does a High Level Indicate What does a Low Level Indicate Why would this test be ordered? (give a minimum of three)
BUN Infant:

Child:

Adolescent

Creatinine Infant:

Child:

Adolescent:

Urine Analysis Dip Stick

· pH · ·
· leuokocytes · ·
· Nitrite · ·
· Protein · ·
· Glucose · ·
· Specific Gravity · ·
· Blood · ·
· Ketones · ·
RBCs Infant:

Child:

Adolescent:

HGB Infant:

Child:

Adolescent:

HCT Infant:

Child:

Adolescent:

Platelets Infant:

Child:

Adolescent:

Reticulocytes Infant:

Child:

Adolescent:

WBCs Infant:

Child:

Adolescent:

neutrophils Infant:

Child:

Adolescent:

Bands Infant:

Child:

Adolescent:

eosphinils Infant:

Child:

Adolescent:

lymphocytes Infant:

Child:

Adolescent:

monocytes Infant:

Child:

Adolescent:

Basophils Infant:

Child:

Adolescent:

Hgb A1c Infant:

Child:

Adolescent:

Normal blood lead level Infant:

Child:

Adolescent:

Sweat chloride test Infant:

Child:

Adolescent:

Potassium Infant:

Child:

Adolescent:

Sodium Infant:

Child:

Adolescent:

Fasting Blood glucose Infant:

Child:

Adolescent:

Calcium Infant:

Child:

Adolescent:

TSH Infant:

Child:

Adolescent:

T3 Infant:

Child:

Adolescent:

Free T 4 Infant:

Child:

Adolescent:

Oxygen saturation Infant:

Child:

Adolescent:

Serum pH Infant:

Child:

Adolescent:

Emergency O2 sat Infant:

Child:

Adolescent:

Life threatening O2 sat Infant:

Child:

Adolescent:

magnesium Infant:

Child:

Adolescent:

Alanine Aminotransferase (ALT) Infant:

Child:

Adolescent:

Aspartate Aminotransferase (AST)

Infant:

Child:

Adolescent:

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