Designed for speedy reference, this full-color instruction manual presents succinct, bulleted info on over three hundred of the top laboratory exams and diagnostic tactics. Entries are prepared alphabetically and stick to a constant layout: goal of the try, sufferer coaching, process steps, post-test care, precautions, general findings or reference values (including SI values), irregular findings and scientific implications, and elements affecting the accuracy of effects. ordinary icons spotlight attainable post-test problems and pediatric and geriatric considerations.
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Extra info for Lippincott Manual of Nursing Practice Series: Diagnostic Tests
The tanned red cell hemagglutination test detects antithyroglobulin and antimicrosomal antibodies. Another laboratory technique, indirect immunofluorescence, can detect antimicrosomal antibodies. Hashimoto’s thyroiditis, Graves’ disease, or other thyroid diseases PATIENT PREPARATION ● Explain to the patient that the antithyroid antibody test evaluates thyroid function. ● Inform the patient that he need not restrict food and fluids. ● Tell the patient that the test requires a blood sample. Explain who will perform the venipuncture and when.
PROCEDURE AND POSTTEST CARE ● Perform a venipuncture and collect the sample in a 4-ml clot-activator tube. ● Apply direct pressure to the venipuncture site until bleeding stops. qxd 8/19/08 6:52 PM Page 39 ● Instruct the patient that he may resume medications discontinued before the test, as ordered. PRECAUTIONS ● To avoid missing peak AST levels, draw serum samples at the same time each day. ● Handle the sample gently to prevent hemolysis. ● Send the sample to the laboratory immediately. 5 µkat/L) in females.
ABNORMAL FINDINGS The test for anti-smooth-muscle antibodies isn’t specific; these antibodies appear in many patients with chronic active hepatitis and in fewer patients with primary biliary cirrhosis. Anti-smooth-muscle antibodies may also be present in patients with infectious mononucleosis, acute viral hepatitis, a malignant tumor of the liver, and intrinsic asthma (see Incidence of serum antibodies in various disorders, page 24). qxd 8/19/08 6:52 PM Page 27 Antistreptolysin-O test ◆ The antistreptolysin-O (known as ASO) test measures the relative serum concentrations of the antibody to streptolysin-O.