Download Lippincott Manual of Nursing Practice Series: Diagnostic by Springhouse PDF

By Springhouse

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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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.

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