Laboratories Cbc Results Au Au Au G 10 G 21
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LABORATORIES
Compo nents RBC
Jul
Jul
Jul
CBC RESULTS Au Au Au
Se
Se
Se
y
y
y
g
g
g
p
p7
p
20
30
31
10
21
27
3-4
2.5
3.1
14
Norma
Units
l values 4.0-5.5
mil/mm
Hgb
103
3 67
4 82
110
86
128
128
120-
3 g/L
Hct
0.3
0.2
0.2
0.3
0.2
0.3
0.3
140 0.37-
g/L
2
2
7 2.9
2
7
7
7
WBC
0.45 5.0-
x10^9/
Platelet
15
55
10.0 84-478
L x10^9/
20.
15.
5
1
L It can be noticed that most of the results showed a decreased level of values based on its normal rate. Decreased red blood cells (RBCs), hemoglobin levels and hematocrit levels could be associated with possible dehydration of the infant. Also, the presence of hemoglobin F until 5 months to an infant contributes to such results. The presence of HgbF in the blood of an infant result in shortened survival of the RBC; thus, a decrease number in RBC. (Wong,__) Elevation of white blood cells (WBCs) is a normal response of the body when infection is present. Related on the case of the client, the elevation of WBC is due to one of the complication of Hirschsprung’s Disease that is enterocolitis. July
Sep
Component
30
7
Normal
Units
s Total Protein Albumin A/G Ratio Globulin Calcium
35 11 0.5 24 1.81
58 30
values 46-74 38-54
g/L g/L
23 - 35 4.2-5.9
g/L mg/dL
Considering that the client is an infant, it is known that the liver is chiefly the last organ of the gastrointestinal tract to mature. It usually takes a year after birth before this essential organ matures. Hence, during the first months of life, the liver is not yet well developed resulting to a somewhat deficient function. One of the normal functions of liver such as protein synthesization is impaired resulting to hypoproteinemia. Also, synthesis of globulin, which aids in the
production of antibodies, is also impaired. The immaturity of the liver contributes to the above results.
DIAGNOSTICS
1. ULTRASOUND
A non-invasive procedure which use a high-frequency, inaudible vibratory sound waves that are passed through the body via a transducer.
Ultrasound imaging is a noninvasive medical test that helps physicians diagnose and treat medical conditions.
Client Preparation: •
The child should be dressed in comfortable, loose-fitting clothing.
•
Instruct to drink 1-2 L of fluid before the test for better visualization of the abdomen.
•
For some scans, the doctor may ask to withhold food and drink for as long as 12 hours before procedure.
•
Instruct the client to lie still during the procedure.
•
No follow-up care is needed.
2. X-RAY
a noninvasive medical test that helps physicians diagnose and treat medical conditions. Imaging with x-rays involves exposing a part of the body to a small dose of ionizing radiation to produce pictures of the inside of the body.
Also, it is a diagnostic test which may show a lack of stool in the large intestine or near the anus and dilated segments of the large and small intestine.
Plain abdominal radiography is performed if abdominal obstruction is suspected.
Client Preparation:
•
Wear a hospital gown and remove any jewelry or metal objects which may interfere with the film.
•
References:
The child is placed on supine position.
Wong’s Pediatric Reference Ranges (http://www.healthcare.uiowa.edu/path_handbook/Appendix/Heme/PEDIATRIC_NO RMALS.html)
Compo nents RBC
Jul
Jul
Jul
CBC RESULTS Au Au Au
Se
Se
Se
y
y
y
g
g
g
p
p7
p
20
30
31
10
21
27
3-4
2.5
3.1
14
Norma
Units
l values 4.0-5.5
mil/mm
Hgb
103
3 67
4 82
110
86
128
128
120-
3 g/L
Hct
0.3
0.2
0.2
0.3
0.2
0.3
0.3
140 0.37-
g/L
2
2
7 2.9
2
7
7
7
WBC
0.45 5.0-
x10^9/
Platelet
15
55
10.0 84-478
L x10^9/
20.
15.
5
1
L It can be noticed that most of the results showed a decreased level of values based on its normal rate. Decreased red blood cells (RBCs), hemoglobin levels and hematocrit levels could be associated with possible dehydration of the infant. Also, the presence of hemoglobin F until 5 months to an infant contributes to such results. The presence of HgbF in the blood of an infant result in shortened survival of the RBC; thus, a decrease number in RBC. (Wong,__) Elevation of white blood cells (WBCs) is a normal response of the body when infection is present. Related on the case of the client, the elevation of WBC is due to one of the complication of Hirschsprung’s Disease that is enterocolitis. July
Sep
Component
30
7
Normal
Units
s Total Protein Albumin A/G Ratio Globulin Calcium
35 11 0.5 24 1.81
58 30
values 46-74 38-54
g/L g/L
23 - 35 4.2-5.9
g/L mg/dL
Considering that the client is an infant, it is known that the liver is chiefly the last organ of the gastrointestinal tract to mature. It usually takes a year after birth before this essential organ matures. Hence, during the first months of life, the liver is not yet well developed resulting to a somewhat deficient function. One of the normal functions of liver such as protein synthesization is impaired resulting to hypoproteinemia. Also, synthesis of globulin, which aids in the
production of antibodies, is also impaired. The immaturity of the liver contributes to the above results.
DIAGNOSTICS
1. ULTRASOUND
A non-invasive procedure which use a high-frequency, inaudible vibratory sound waves that are passed through the body via a transducer.
Ultrasound imaging is a noninvasive medical test that helps physicians diagnose and treat medical conditions.
Client Preparation: •
The child should be dressed in comfortable, loose-fitting clothing.
•
Instruct to drink 1-2 L of fluid before the test for better visualization of the abdomen.
•
For some scans, the doctor may ask to withhold food and drink for as long as 12 hours before procedure.
•
Instruct the client to lie still during the procedure.
•
No follow-up care is needed.
2. X-RAY
a noninvasive medical test that helps physicians diagnose and treat medical conditions. Imaging with x-rays involves exposing a part of the body to a small dose of ionizing radiation to produce pictures of the inside of the body.
Also, it is a diagnostic test which may show a lack of stool in the large intestine or near the anus and dilated segments of the large and small intestine.
Plain abdominal radiography is performed if abdominal obstruction is suspected.
Client Preparation:
•
Wear a hospital gown and remove any jewelry or metal objects which may interfere with the film.
•
References:
The child is placed on supine position.
Wong’s Pediatric Reference Ranges (http://www.healthcare.uiowa.edu/path_handbook/Appendix/Heme/PEDIATRIC_NO RMALS.html)
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