palpaster.blogg.se - Critical low hematocrit and hemoglobin levels

#CRITICAL LOW HEMATOCRIT AND HEMOGLOBIN LEVELS MANUAL#
#CRITICAL LOW HEMATOCRIT AND HEMOGLOBIN LEVELS PROFESSIONAL#

Electrolyte panels might change with intervenous infusions, medications, and diet.

Significant trends in the values over time.

Meals the patient has consumed (which may have an effect on their most recently reported lab values).

Other things to consider when looking at the patient's big picture include: In addition to looking at the lab values and determining whether they are within normal ranges or guidelines, clinical decision making also needs to be based on a thorough chart review, the trends of labs or vital signs, clinical discussion with the team, and the ability to monitor for clinical signs and hemodynamic stability during intervention. The lab values alone may or may not determine whether you're going to intervene with a patient, or whether you're going to hold. To begin or continue interventions on patients that we're seeing in the acute care setting, we always need to use clinical decision making. It is also a very customizable tool and they have a quick-reference guide as well. The link is included in my reference list and is available for anyone to access you don't have to be a member of the Academy of Acute Care Physical Therapy. Many of my slides and discussion today are based on this lab value resource. Recently, the Academy of Acute Care Physical Therapy section gathered a task force to review the lab values resource they have published since 2011. We review it at least every two years, to assist PTs, OTs, PTAs, and COTAs in clinical decision making.

#CRITICAL LOW HEMATOCRIT AND HEMOGLOBIN LEVELS MANUAL#

At Henry Ford Hospital, a lab values manual was created in 1996 and has been revised many times over the years, including this year. They're also based on expert physician recommendations, in some cases where literature isn't as deep. Today, the abnormal values and the appropriateness for rehab intervention that we're going to discuss are based on evidence-based literature.

#CRITICAL LOW HEMATOCRIT AND HEMOGLOBIN LEVELS PROFESSIONAL#

It is always important to have discussions with your physicians for professional exchange, no matter what we're learning today. Individual physicians may have guidelines that are based on their own clinical research or preference.

We have to understand how they interact with our bodies and what the physiologic response is. In a 1972 article, Lundberg defined a critical value as "a physiological state at such variance with normal as to be life threatening unless something is done promptly, and for which some corrective action can be taken." As critical values might evolve quickly in the acute care setting, it is important for us to frequently reassess to be sure that our patients are safe and we're providing effective patient management.Īnother article by Amy Pawlik in 2013 deals with how patients with acute illness "require timely and accurate assessment and modification of activity by the intervening PT (or OT / assistant), and the titration of activity in response to changes in the physiological status." This is key to our lab values and understanding lab values and vital signs. For many tests, the normal ranges will vary depending on age, gender, race, or other factors. The normal values at each institution are typically determined based on 95% of healthy people in a certain group. In acute care or subacute care, the most common blood tests that we see include complete blood count (CBC), and differential and basic metabolic profile or routine chemistry. They evaluate the kidneys, liver, thyroid, heart, and other aspects of health. Laboratory diagnostic tests are one factor in determining the overall health of our patients. We're going to spend time introducing a few basic reasons why we look at lab values, go over some clinical reasoning, and then we'll dive deeper into each of the vital signs and lab values.

Thank you for joining our webinar today on the role of lab values in clinical decision making and patient safety for the acutely ill patient.