DIAGNOSTICS

RAYMUND CHRISTOPHER R. DELA PEÑA, RN, RM, MAN

FACULTY, COLLEGE OF NURSING
UNIVERSITY OF NORTHERN PHILIPPINES
 IDEAL DIAGNOSTIC PROCEDURES

Includes the descriptions and

importance of the procedure
which are supposed to be done
according to the book if they
were not ordered.
Ideal Diagnostic Procedures
(PNEUMONIA)
Chest X-ray –
confirms the
presence of
pneumonia and
determine the
extent and location
of the infection.
Diagnostic Test

Routine Laboratory Tests include:

 CBC
Used to confirm an infection and to try to identify the type
of organism causing the infection. However, precise
identification isn't always possible.
SPUTUM TEST

 A sample of fluid from the lungs

(sputum) is taken after a deep cough
and analyzed to help pinpoint the
cause of the infection.
Diagnostic Test

Pulmonary
Function Test
– to rule out
other disease
processes
– evaluate lung
function
ACTUAL DIAGNOSTIC PROCEDURES

Remember to relate them to

the case of the patient and
normal values should be
appropriate for patient’s
age.
 Actual Diagnostic Procedures
NAME OF NORMAL VALUE ACTUAL VALUE IMPLICATION NURSING
PROCEDURE RESPONSIBILITIES
CBC

 Hemoglobin
(Hgb)
 138-166g/l  139. 5 g/l Within normal range
 Hematocrit
(Hct)  0.380-550 l/l  0.387L/L Within normal range

 RBC  4.2-6.5m/U  4.73 m/U Within normal range

 WBC  4.0-12.0x10^g/l  9.2x10^g/l Within normal range

 Lymphocytes  25-50%  52.7% Elevated. May  Relay results to

indicate presence of attending
 Granulocytes  50-80%  54.7% infection. physician.
 Administer
antibiotics as
ordered.
 Actual Diagnostic Procedures
NAME OF NORMAL VALUE ACTUAL VALUE IMPLICATION NURSING
PROCEDURE RESPONSIBILITIES
CHEST X-RAY  Streaky densities
 Trachea – visible in both Impression:  Relay results to
midline in the anterior parahilar/paracardiac CAP Pneumonia, MR attending physician.
mediastinal cavity. areas are seen.  Limit visitors.
 Hila – (Lung Roots)  The thymus gland  Elevate head of bed
– visible above the is visible. as needed.
heart, where  Pulmovascularity  Administer O2
pulmonary vessels, is within normal limits. support as ordered.
bronchi & lymph nodes  Heart is not  Administer
join the lungs. enlarged. antibiotics as
 Bronchi – usually  Diaphragm is ordered.
not visible. normal in position and
 Lung fields – contour.
usually not visible  Both costophrenic
throughout, except for sulci and visualized
blood vessels. bones are intact.