Course Hero Logo

Bacteria neg large high few epithelial neg few high

Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e.g., in search results, to enrich docs, and more. This preview shows page 13 - 15 out of 18 pages.

Bacteria (neg)LargeHighFewEpithelial (neg)FewHighFewRelevant Lab(s):Clinical Significance:TREND:Improve/Worsening/Stable:Cloudy urineElevated specificgravityProtein in the urineNitrites, LET, WBC,bacteria, epithelialCan be sign of infectionIncreased concentration likely due to fluid deficitDeen in DM II and w/ UTIAl indicative of UTIWorseningWorseningWorseningWorseningLab Planning: Creating a Plan of Care with a PRIORITY Lab:Lab:Normal Value:ClinicalSignificance:Nursing Assessment/Interventions Required:LactateValue:3.2Critical Value:2Lactate is majorsepsis markerdemonstratinghypoperfusion ofsystemic organsImmediately notify the provider of critical value. Assess vital signs including BP, HR, temp togive to the provider. Assess for other s/s of systemic infection such as fever. Perform sepsisscreen based on protocol and notify team. Enact orders as prescribed including fluidreplacement, cultures, and administration of broad spectrum abx.Lab Planning: Creating a Plan of Care with a PRIORITY Lab:Lab:NormalValue:Clinical Significance:Nursing Assessments/Interventions Required:Creatinine:Value: 1.5Critical Value:Creatinine is indicative of kidney functionand elevated creatinine level means thatthe kidneys are not able to effectivelyStrict I&O, monitor urine quality and characteristics, administer fluids asordered, assess ability to urinate (foley for incontinence if confused andalso needing strict I&O depending on hospital’s policy on foley criteria
2-2.5keep up with filtration demands andtherefore substances usually filtered outare accumulating in the blood
IV. Clinical Reasoning–Lab Results:Does your initial nursing priority or plan of care need to be modified in any way after obtaining these lab results?

Upload your study docs or become a

Course Hero member to access this document

Upload your study docs or become a

Course Hero member to access this document

End of preview. Want to read all 18 pages?

Upload your study docs or become a

Course Hero member to access this document

Term
Summer
Professor
N/A
Tags
Hypovolemia, Hemodynamics

Newly uploaded documents

Show More

Newly uploaded documents

Show More

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture