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Published on Oct 1, SlideShare Explore Search You. Submit Search. Cancel Overwrite Save. Don't wait! Try Yumpu. Start using Yumpu now! Resources Blog Product changes Videos Magazines. Forexample,thebasicmetabolicpanel BMP includescommonserumelectrolytes sodium, potassium,andchloride ,carbondioxidecontent,bloodureanitrogen BUN ,calcium,creatinine,and glucose. Grouped togetherforconvenience,someprofilesmaybelesscostlytoperformthanthesumofthecostofeach individualtest.
Attentiontocostisespecially importantinthecurrentcost-consciousera. Atestshouldnotbedoneifitisunnecessary,redundant,or providessuboptimalclinicaldata e. Beforeorderinga test,theclinicianshouldconsiderthefollowingquestions:.
Serum osmolality can be calculated from electrolytesandglucoseratherthanmeasureddirectly. Beforeaccepting reported laboratoryvalues, clinicians should consider the numerous laboratory- and patient-specific. Figure depictstheformatand. Referencerangeinchildren Variability,factorsaffectingrange,age grouping. Minutes,hours,days,weeks Assumesacuteinsult. Minutes,hours,days,weeks Assumesinsultnotyetremoved. Minutes,hours,days,weeks Assumesinsultremovedandnonpermanent damage. Blood venousorarterial.
Laboratoryerrors are uncommonbutmayoccur. Defined as a testresultthatis notthe true result, laboratoryerrormostappropriatelyreferstoinaccurateresultsthatoccurbecauseofanerrormadeby laboratorypersonnelorequipment. However,laboratoryerrorissometimesusedtorefertootherwise accurateresultsrenderedinaccuratebyspecimen-relatedissues. Laboratoryerrorsshouldbesuspected foroneormoreofthefollowingsituations:.
True laboratory errors inaccurate results are caused by one or more laboratory processing or equipmenterrors,suchasdeterioratedreagents,calibrationerrors,calculationerrors,misreadingthe results,computerentryorotherdocumentationerrors,orimpropersamplepreparation.
Improper specimenhandlingpriortoorduringtransporttothelaboratorymayalteranalyteconcentrationsbetween the time the sample was obtained fromthe patient and the time the sample was analyzed in the laboratory.
Red blood cell hemolysis elevates the serum potassium and phosphate concentrations. Failuretorefrigeratesamplesmaycausefalselylowconcentrationsofserumenzymes e. Prolongedtourniquettimemayhemoconcentrateanalytes,especiallythosethatarehighly proteinbound e. Numerousage-related e. Theastuteclinicianassesseslaboratorydatain contextofallthatisknownaboutthepatient.
Diseasestates,normal physiologicpatterns,pharmacodynamics,andpharmacokineticstimecoursesmustbeconsideredwhen interpreting lab values. For example, digoxin has a prolonged distribution phase. Digoxin serum. Postmyocardial infarction enzyme patterns are an example of a more complex and. MI andreturnstobaselineabout48—72hoursaftertheMI.
For example,cosyntropin syntheticACTH testsadrenal glandresponsiveness. Thesputumacid-fastbacilli AFB smear. Non-steady-state drug concentrations are difficult to interpret; inappropriate dosage adjustments usuallyinappropriatedosageincreases mayoccuriftheclinicianfailstorecognizethatadrughasnot reachedsteady-stateconcentrations. Althoughnon-steady-statedrugconcentrationsmaybeusefulwhen assessingpossibledrugtoxicity e. Absorption, distribution, and eliminationmaychangewithchangingphysiology.
Somedrugs e. Age-relatedchangesarewell-describedforneonates andyoungchildren,butlessdataareavailablefortheelderlyandtheveryelderly usuallydescribedas. Pediatricreferencerangesoftenreflectphysiologicimmaturity,withlabvaluesapproachingthoseof healthy adults with increasing age.
For example, the complete blood count CBC hemoglobin, hematocrit,RBCcount,andRBCindices rangesaregreatlydependentonagewithdifferentvalues reportedforprematureneonates,termneonates,andyoungchildren. Most laboratory reference texts provide age-specific referencevalues. Geriatric reference ranges are more difficultto establishbecause ofphysiologic variabilitywith increasingageandthepresenceofsymptomaticandasymptomaticdiseasestatesthatinfluencereference values.Basic Skills in Interpret in g Laboratory Data. Download, Interpreting, Laboratory, Basic skills in interpreting laboratory data 5th edition pdf download. Short-link Link Embed. Share from cover. Share from page:. Page 2: Basic Skills basic skills in interpreting laboratory data 5th edition pdf download Interpreting Labora. More magazines by this user. Close Flag as Inappropriate. You have already flagged this document. Thank you, for helping us keep this platform clean. The editors will have a look at it as soon as possible. Delete template? Cancel Delete. Cancel Overwrite Save. Don't wait! Try Vasic. Start using Yumpu now! Resources Blog Product changes Videos Magazines. Integrations Wordpress Zapier Dropbox. Basic skills in interpreting laboratory data / [edited by] Mary Lee. -- 5th ed. p. ; cm. Includes bibliographical references and index. ISBN I. Lee. Download this PDF to get full URL book download -- sud-ouest-tai-chi-chuan.org Basic Skills in Interpreting Laboratory Data, Fifth Edition, is the classic and most popular pharmacy laboratory text because it is the only reference on this subject. Basic Skills in Interpreting Laboratory Data. Basic Skills in Interpreting Laboratory Data. Read And Download By Click Image Bellow! Show more documents. Basic Skills in Interpreting Laboratory Data - Free ebook download as PDF File .pdf), Text File .txt) or read book online for free. Basic Download as PDF, TXT or read online from Scribd BasicClinicalPharmacokinetics.5th. Free download Basic Skills in Interpreting Laboratory Data, 5th edition [Paperback] from mediafire, rapishare, and mirror link. Basic Skills in. Download Basic Skills Interpreting Laboratory Data PDF. View PDF Title: Basic Skills In Interpreting Laboratory Data, 4th Edition Author: Mary Lee MD Reviews/Testimonials Basic Skills in Interpreting Laboratory Data, 5th View PDF. Basic skills in interpreting laboratory data. [Mary Lee Edition/Format: eBook: Document: English: 5th edView all editions and formats. Rating: (not yet rated) 0. Now in its sixth edition, Basic Skills has been expanded and updated to cover new drugs, research, and therapeutic approaches. Edited by Mary Lee, Pharm. D. Intended for use in an introductory pharmacology course, Basic Pharmacology: Understanding Drug Actions and Reactions provides an in-depth discussion of how to apply the chemical and molecular pharmacology concepts, a discussion students need for more advanced study. This book stresses educational approaches that empower pharmacists with patient care and research competencies. Every health care student and professional needs this unique pocket-sized reference. Clinical Pharmacy Education, Practice and Research offers readers a solid foundation in clinical pharmacy and related sciences through contributions by 83 leading experts in the field from 25 countries. Chapter features include key terms and definitions, and a comprehensive table of pearls, specific to each subject to present a clear understanding of all concepts. Normal values are highlighted in special boxes for easy identification. Quality control guidelines address procedural issues that affect the accuracy of test results. Focusing on sample handling, machinery calibration, normal physiology and anatomy, clinical diagnostics, and disease processes, the book helps technical team members to consistently achieve high-quality results in small animal lab work. Each chapter contains learning objectives, case studies, bibliographies, and charts that summarize the causes of high and low test results. The textbook introduces the principles of chemistry and biology necessary to understand drug interactions at the cellular level. Edited by Mary Lee, Pharm.