Kee J L, Hayes E R
University of Delaware College of Nursing, Newark.
Nurs Clin North Am. 1990 Dec;25(4):751-9.
Laboratory test results are a valuable source of information. Nurses need to assess laboratory test results as part of the physical assessment of their patients. Comparison of laboratory test results and changes with abnormal physical findings provides the basis for changes in the nursing care plan. Progressive monitoring of laboratory results and prompt interventions might lessen the seriousness of the health problem. In acute care units, the initial group of laboratory tests serves as a baseline for assessing additional test results. Several reference values should be remembered, particularly the electrolytes (potassium, sodium, and calcium), glucose, BUN, creatinine, and albumin. Specific group profiles assist in identifying and in monitoring the patient's health status. Incorporating laboratory test results into the plan and evaluation of care will result in safer and more effective patient care. Referring to laboratory test findings and comparing them with physical assessment findings are required for the delivery of professional nursing care.
实验室检查结果是宝贵的信息来源。护士需要将评估实验室检查结果作为对患者进行身体评估的一部分。将实验室检查结果以及结果变化与异常身体检查结果进行比较，可为护理计划的调整提供依据。对实验室检查结果进行持续监测并及时干预，可能会减轻健康问题的严重程度。在急症护理病房，最初的一组实验室检查可作为评估后续检查结果的基线。应记住几个参考值，特别是电解质（钾、钠和钙）、葡萄糖、血尿素氮、肌酐和白蛋白。特定的检查结果组合有助于识别和监测患者的健康状况。将实验室检查结果纳入护理计划和护理评估中，将带来更安全、更有效的患者护理。提供专业护理需要参考实验室检查结果并将其与身体评估结果进行比较。
