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    Diagnostic and Laboratory Analysis

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    Sheryl Ann Barit Pedines
    This document summarizes the nursing responsibilities and rationale for obtaining a sodium and potassium diagnostic test for a patient diagnosed with breast cancer. It details checking the doctor's order, identifying the patient, explaining the blood test procedure, obtaining consent, notifying the lab of medications, staying with the patient during the procedure, attaching results to the patient's chart, and documenting the procedure. The test results showed elevated sodium levels due to anticancer drug therapy and normal potassium levels. The elevated sodium is a condition known as hypernatremia caused by a fluid volume deficit.

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    Diagnostic and Laboratory Analysis

    Uploaded by

    Sheryl Ann Barit Pedines
    48 views1 page
    This document summarizes the nursing responsibilities and rationale for obtaining a sodium and potassium diagnostic test for a patient diagnosed with breast cancer. It details checking the doctor's order, identifying the patient, explaining the blood test procedure, obtaining consent, notifying the lab of medications, staying with the patient during the procedure, attaching results to the patient's chart, and documenting the procedure. The test results showed elevated sodium levels due to anticancer drug therapy and normal potassium levels. The elevated sodium is a condition known as hypernatremia caused by a fluid volume deficit.

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    Diagnostic-and-Laboratory-Analysis-

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    This document summarizes the nursing responsibilities and rationale for obtaining a sodium and potassium diagnostic test for a patient diagnosed with breast cancer. It details checking the doctor's order, identifying the patient, explaining the blood test procedure, obtaining consent, notifying the lab of medications, staying with the patient during the procedure, attaching results to the patient's chart, and documenting the procedure. The test results showed elevated sodium levels due to anticancer drug therapy and normal potassium levels. The elevated sodium is a condition known as hypernatremia caused by a fluid volume deficit.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    48 views1 page

    Diagnostic and Laboratory Analysis

    Uploaded by

    Sheryl Ann Barit Pedines
    This document summarizes the nursing responsibilities and rationale for obtaining a sodium and potassium diagnostic test for a patient diagnosed with breast cancer. It details checking the doctor's order, identifying the patient, explaining the blood test procedure, obtaining consent, notifying the lab of medications, staying with the patient during the procedure, attaching results to the patient's chart, and documenting the procedure. The test results showed elevated sodium levels due to anticancer drug therapy and normal potassium levels. The elevated sodium is a condition known as hypernatremia caused by a fluid volume deficit.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    SHERYL ANN B.

    PEDINES BSN-IV

    DIAGNOSTIC AND LABORATORY ANALYSIS FORMAT


    Patient’s Diagnosis Breast Cancer
    Date Ordered: 02-15-21 Date Performed: 02-15-21
    Name of Diagnostic and Laboratory Exam: NaK det
    Purpose of the Study: This test is done to the patient to evaluate clinical signs of sodium and potassium depletion.
    Nursing Responsibilities Rationale
    1. Check the doctor’s order. To verify what examination to be done to the patient.
    Verification of order prevents potential errors.
    2. Identify the patient. Checking identification ensures client safety through
    concept of correct procedure for correct client.
    3. Explain the procedure to the client. Tell that To gain cooperation.
    patient that this test requires a blood sample.
    Explain also who will perform the venipuncture
    and when.
    4. Obtain an informed consent properly signed. To provide sufficient information.
    5. Explain to the patient that she may experience For the patient to be aware that this sign is expected.
    slight discomfort from the tourniquet and needle
    puncture.
    6. Notify the laboratory and practitioner of These medications may need to be restricted.
    medications the patient is taking that may affect
    test results.
    7. During the procedure, stay with the patient. To ensure safety of the patient.
    8. After the procedure, attach the lab result at the For the physician to know the appropriate treatment
    chart of the patient. needed for the patient and medications to be ordered.
    9. Document the procedure. For legal purposes.

    Analysis of the Result:


    The results shows that the serum sodium is elevated, and the serum potassium is within normal range. This
    sodium is elevated due to anticancer drug therapy by blocking ADH production or its action on renal tubules.
    The elevated sodium level is also known as hypernatremia. Hypernatremia is an excess of sodium concentration
    in serum (levels above 145 mmol/L). It's generally associated with a hyperosmolar state where a fluid volume deficit
    exists. The increase in extracellular sodium causes intracellular fluid to shift out into the extracellular space, causing
    cellular dehydration.

    Note: Please provide the result of the laboratory study at BACK


    Test Patient Reference range Units
    Na 156 136-146 mmol/L
    K 4.1 3.5-5.0 mmol/L

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