ISBN13:978-0130305190 ISBN10: 0130305197 Edition/Copyright:6TH 02 Cover: Paperback Publisher:Prentice Hall, Inc. Published: 01/28/2002 International: No
Each day hundreds of thousands of laboratory and diagnostic tests are performed and thus nursing responsibilities are forever increasing. Nurses should understand laboratory and diagnostic tests and should provide nursing implications through nursing assessment, judgment, implementation, teaching, and interaction.
Laboratory and Diagnostic Tests with Nursing Implications, Sixth Edition is designed to provide nurses and other health professionals with the necessary information regarding laboratory and diagnostic tests and corresponding nursing implications. It gives quick, pertinent information about the tests, emphasizing the purposes, procedure, and nursing implications with rationale. Reference values are given for adults and children. The tests (laboratory and diagnostic) are arranged in alphabetic order which provides the user with a quick access to the tests.
This text is appropriate for students in various types of nursing programs, including students in masters, baccalaureate, associate degree, diploma, and practical nursing programs. This book should be most valuable to the registered nurse and licensed practical nurse in hospital settings, including specialty areas such as the ICU and emergency room, clinics, health care provider offices, and in independent nursing practice.
The sixth edition lists more than 400 laboratory and diagnostic tests with approximately 28 new tests added to this edition. Major additions and revisions made include:
Selected new laboratory tests: High sensitivity C-reactive protein (hs CRP) helpful in detecting risk for coronary artery disease (CAD); amyloid beta protein precursor that aids in the diagnosis of Alzheimer's disease; viral cultures using various specimens; hematologic tests such as fetal hemoglobin (Hb F), methemoglobin, D-Dimer test to aid in the detection of disseminated intravascular coagulation (DIC), Heinz Bodies for detecting hemoglobinopathies, platelet antibody test to detect thrombocytopenia that may be druginduced; and antibody tests such as parvovirus B 19 antibody, antismooth muscle antibody, antiscleroderma antibody, and antiparietal cell antibody tests.
Selected new diagnostic tests: Bone densitometry, corneal staining, cystometry, fetal nonstress test, fetoscopy, electronystagmography, laparoscopy, sleep studies, and thoracoscopy.
Latest tests (antigen and antibodies) for human immunosuppressive virus-type (HIV-1 and HIV-2) and hemoglobin A1c updated.
Latest updated data for diagnostic tests: magnetic resonance imaging (MRI)~ computed tomography (CT), angiography, cardiac catheterization, nuclear scans, Pap smear, mammography, various gastrointestinal tests, various stress tests, positron emission tomography (PET), echocardiography, Holter monitoring, pulmonary function tests, and ultrasonography.
Additional Therapeutic Drug Monitoring (TDM) information. Updated Laboratory Test Groups (Appendix B).
Updated Laboratory Test Values for Adults and Children that are listed according to the laboratory departments (Appendix C).
Each test is discussed in seven subsections in the following sequence: (1) reference values/normal findings, (2) description, (3) purpose, (4) clinical problems, (5) procedure, (6) factors affecting laboratory or diagnostic results, and (7) nursing implications with rationale. Following the name and initials for each test, there may be names of other closely associated tests. Reference values/normal findings are given for children and adults, including the elderly. The description focuses on background data and pertinent information related to the test. The general purpose for each test is listed. Clinical problems include disease entities, drugs, and foods that cause or are associated with abnormal test results. The procedure is explained with a rationale for the test and with appropriate steps that the nurse and other health professionals can follow. Factors affecting laboratory or diagnostic results alert the nurse to factors that could cause an abnormal test result. The last subsection and most valuable information for each test concerns the nursing implications with rationale. For most diagnostic tests, nursing implications are given as "pretest" and "posttest."
There are four parts in the text. Part 1, Laboratory Tests; Part 2, Diagnostic Tests; Part 3, Laboratory/Diagnostic Assessments of Body Function; and Part 4, Therapeutic Drug Monitoring (TDM). There is a list of laboratory tests with page numbers at the beginning of Part I and a list of diagnostic tests with page numbers at the beginning of Part II. In addition, general information appears in the Introduction to the book including the importance of specimen collection with detailed information about all types of specimen collection. The Instructions for Laboratory and Diagnostic Tests section explains the information that will be found under the eight major subheadings for each test and gives basic information that relates to most of the laboratory and diagnostic tests.
Part 3, Laboratory/Diagnostic Assessments of Body Function, should be most valuable to both the practicing nurse and the student. The section consists of 12 categories related to organ system and clinical conditions. These are: Cardiac Function; Respiratory Function; Renal Function; Liver, Gallbladder, Pancreatic Functions; Gastrointestinal Function; Neurologic and Musculoskeletal Functions; Endocrine Function; Reproductive Function; Arthritic and Collagen Conditions; Shock; Neoplastic Conditions; and Hematologic Conditions. Each category contains numerous laboratory and diagnostic tests ordered to assist in the diagnosis of disease entities and to determine organ function. These tests are briefly discussed with reference values as they relate to the organ or condition of that category. A few of the same tests (e.g., enzyme tests) can be found in more than one category (cardiac, muscle, liver). The nurse could determine if the test is more specific for one category or the other. The nursing process with nursing diagnosis, nursing implications, and nursing evaluation are found at the end of each category.
Part 4, Therapeutic Drug Monitoring (TDM), lists drugs that are monitored frequently by serum and urine for the purposes of achieving and maintaining therapeutic drug effects and for preventing drug toxicity. The TDM section includes 120 drugs and their therapeutic range, peak time, and toxic level.
There are three appendices: Abbreviations, Laboratory Test Groups (laboratory profiles ordered for diagnosing clinical problems), and Laboratory Test Values for Adults and Children. The detailed index should be most helpful for locating the page of a test when the test name is different from the alphabetic listing used.
View Author Bio
Kee, Joyce L. : University of Delaware
View Table of Contents
Preface. Acknowledgements. Introduction. The Importance of Specimen Collection. Instructions for Laboratory and Diagnostic Tests.
PART I. LABORATORY TESTS. PART II. DIAGNOSTIC TESTS. PART III. LABORATORY/DIAGNOSTIC ASSESSMENTS OF BODY FUNCTIONS. PART IV. THERAPEUTIC DRUG MONITORING (TDM).
Bibliography. Appendix A. Abbreviations. Appendix B. Laboratory Test Groups. Appendix C. Laboratory Test Values for Adults and Children. Index.
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