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CBC 1/30/2006
TEST RESULTS REFERENCE
HEMOGLOBIN MASS C 140-160 g/L
MCH 27.5-33.2 pg
HEMATOCRIT 40-54 %
MCV 80-94 fl
MCHC 32-37 %
RBC 4.5-5.0 x10^12/L
WBC 5-10x10^9/L
DIFFERENTIAL COUNT
NEUTROPHILS 40-75%
LYMPHOCYTES 20-45%
PLATELETS 140-440 x 10^9/L
RBC MORPHOLOGY
ABGs 1/30/2006
TEST RESULT REFERENCE
pH 7.5-7.45
PCO2 35-45 mmHg
PO2 80-100 mmHg
HCO3 22-26 meq/L
BE(ecf) +/-2
O2 Sat 94-100%
Total CO2
FiO2
Temp
URINALYSIS 1/30/2006
TEST RESULT REFERENCE
COLOR Yellow
TURBIDITY Clear
REACTION Acidic
SPECIFIC GRAVITY 1.015
PROTEIN Negative
SUGAR ++
RBC /H.P.F.
WBC 0-1/H.P.F.
CASTS none
BACTERIA
EPITHELIAL CELLS
CRYSTALS
MICROSCOPY
WBC Gram+cocci
EPITHELIAL CELLS Gram-rods
Subjective: Partial Traction is applied After 8 hours of 1. Assess Degree of 1. px may be restricted by self- fter 8 hours of NI,
“hindi ko nga masyado Impaired to the extremity of NI, client will be immobility produced by view/self-perception out of Patient will be able to
magawa yung mga Physical a px with a able to increase/ treatment and note proportion with actual physical increased and
normal na ginagawa ko Mobility r/t fracture, the maintain mobility patient’s perception of limitations maintain mobility at
dahil nga sa naka- immobilization purpose of this is at the highest immobility the highest possible
traction ako.” As patient by traction first, to lessen the possible level 2. instruct and assist px 2. increase blood flow to level
verbalized. muscle spasm and with active/passive ROM muscles and bones to improve
to reduce the exercises of affected and muscle tone, maintain joint
Objective: inability to fracture and then to unaffected extremities mobility; prevent contractures/
move purposefully provide atrophy and calcium resorption
within the physical immobilization and from disuse
environment; imposed to maintain the
restrictions; unable to corrected position
perform ADL’s: unable to the affected part 3. encourage use of 3. isometric contract mucles
to bathe and dress self of the body. isometric exercises without bending joints or
without assistance; able starting with the moving limbs and help maintain
to feed self; muscle unaffected limb. muscle strength and mass
strength: RUE,LUE, Reference:
RLE: 5/5, balance Orthopedic nursing
skeletal traction on the by: Larson and
4. instruct in/encourage 4. facilitates movement during
lower left extremity; Gould
use of trapeze and post hygiene/skin care and linen
medical dx: pathologic
position for lower limb changes
fracture femoral neck left
fractures.
distal femur
5. assist with/encourage 5. improves muscle strength and
self-care activities such as circulation,promotes self-
bathing or shaving directed wellness
6. prvide diet high in 6. in the presence of
CHON, CHO, Vitamins musculoskeletal injuries,
and minerals nutrients required for healing are
rapidly depleted, often resulting
in a weight loss as much as
20/30 lb during skeletal traction.
This can have profound effect on
muscle mass, tone and strength
Reference:
Nurse’s Pocket Guide by
Doenges et. al
Therapeutic F and E:
effects: Hypomagnesemia
Bacterial action
MS: muscle paralysis
Spectrum: most
aminglycosides Misc: hypersensitivity
notable for reaction
activity against:
P. aureginosa,
klebsiella
BRAND NAME pneumoniae, DOSAGE COTRAINDICATION DRUG-FOOD
Amikin Escherichia coli, INTERACTION
proteus, serratia, IV: 300 mg Hypersensitivity, most
acinetobacter, s. parenteral products
aureus contain bisulfites and
should be avoided in
patients with known
intolerance, cross-
sensitivity among
aminoglycosides may
occur.