INTRODUCTION

Interpretation of lab data is an essential skill required of nurses working in all practice settings. This seminar covers a broad range of lab tests, from standard chemistry values, the complete blood count, and coagulation profile through tests specific to cardiac, hepatic, and pancreatic function. A quick look at therapeutic drug levels, toxicology reports, and microbiology studies is included, as well as a variety of miscellaneous labs.

Participants receive an extensive handout, including information detailing normal ranges, panic values, and the pathophysiologic basis of abnormal values. Actual patient scenarios including a variety of data are incorporated throughout the day which confirm the clinical relevance and practical application.

NOTE TO CCRN EXAM CANDIDATES: 
All laboratory studies included in the Core Curriculum for Critical-Care Nurses (plus many more) are included in this seminar! (Exception: arterial and mixed venous blood gases are covered extensively in other Barbara Clark Mims Associates seminars.)

Examples of questions that will be answered during this seminar include:

	What can cause an elevated serum glucose level in a non-diabetic patient?
	What is a "shift to the left" on a CBC differential and what is its clinical significance?
	What is the difference in the PT and the INR?
	What is the first serum cardiac marker to become elevated after an acute MI?
	What serum cardiac markers can be expected to be elevated in a patient presenting 24 hours after an acute MI?
	What is the significance of an elevated ammonia level in a patient with a normal BUN?
	What are fibrin split products, and how are they useful in evaluating a patient with DIC?
	When should a peak/trough level be drawn in relation to administration of a dose of an aminoglycoside?
	What is the clinical significance of a low total calcium in the setting of a low serum albumin?
	What level of thrombocytopenia poses a significant risk of bleeding?
	How is the serum lactate level used in evaluating resuscitation of the trauma patient?
	What part of the immunology lab data should be reviewed to evaluate immunosuppression in HIV+ patients or post op transplant patients?
	How can you evaluate a chemistry panel to identify malnutrition?
	Are glucose, white blood cells or protein significant findings in the CSF from a spinal tap?
	How can a lipid profile be utilized when evaluating cardiac risk factors?

Presented by:
Carol A. Rauen,
R.N., M.S., CCNS, CCRN