28 Sep Common Laboratory Tests in Primary Care Including
Common Laboratory Tests in Primary Care Including Microscopic Procedures and Findings Value: 5 Percentage Points toward total grade Part 1 Due Date: Wednesday of Week 6 no later than 11:59 PM ET, with Topic Choice by 11:59PM ET Tuesday. Part 2 (Response) due date: No later than Sunday, Week 6, no later than 11:59PM ET Discussion Forum Notes: This week you are going to pay a visit to the laboratory in your workplace (or in another laboratory site) where you will seek information and perform activities to fulfill this week’s assignment. The purpose of this visit is for you to have the opportunity to learn about some of the common diagnostic tests that you will be ordering and to better understand the results from the tests that you will be reviewing in your practice as a Family Nurse Practitioner (FNP). This list below is not all inclusive but does provide you with some of the examinations that are commonly ordered in a primary care setting. Please try to spend some time with the pathology department (or wherever microscopic procedures are being performed) so that you have a chance to look in the microscope and see cells that can either confirm or rule out a diagnosis. While you cannot rely completely on diagnostic test results to determine a patient’s health status, (we have all had patients who “looked good on paper” and in reality, were near death), it is important that you understand the purpose for ordering a diagnostic test, that you know the specific components of the test that will help you diagnose a condition and then how to read the results to determine if treatment or “watchful waiting” is needed. You also will want to know if more testing needed? What would those tests be? Where do I go from here? Discussion Forum Guidelines: 1. Complete the required readings up to and including Week 6 2. Each student will pick one laboratory test from the list below and then answer the questions that follow the list. You will post your chosen lab test by 11:59PM ET Tuesday of Week 6 and then complete the Main Post Questions by 11:59PM ET Wednesday of Week 6. Do not pick the same test as another student. Choices are based on a first come, first serve basis. This means that you will have to view the discussion forum to find out who has chosen what. Do not pick the same test that you used in the Week 1 discussion forum. 3. Lab tests to choose from: Urine analysis Hemoglobin and Hematocrit and Platelets and Prothrombin time (INR international normalized ratio) Liver enzyme levels (SGOT, SGPT, LDL) and serum amylase Serum electrolytes (CO2, chloride, K, Na) Serum Calcium, Albumin and Protein Lipid Profile (total cholesterol, LDL, HDL, Triglycerides) Thyroid Function Tests (TSH, total T4, total T3, free thyroxine index) Cervical Papanicolaou (Pap) Test Fasting Blood Glucose and Hemoglobin A1C Stool for Occult Blood and Prostate specific-antigen (PSA) Complete White Blood Count with differential (Leukocytes and segmented neutrophils, basophils, eosinophils, monocytes and lymphocytes) Tuberculosis (TB) blood test (QuantiFERON Gold TB) and Mantoux skin test Syphilis test (Rapid plasma reagin), Chlamydia and Gonorrhea (male and female) Hepatitis A screening (active disease and immunity test) Hepatitis B screening (active disease, chronic disease, immunity test) Hepatitis C screening (confirmatory testing, active and chronic disease) HIV test (ELISA and Western Blot) Trichomoniasis, Bacterial Vaginosis and Candidiasis Testing (male and female) Syphilis test (Rapid Plasma Reagin), Chlamydia and Gonorrhea (male and female) 4. Answer the following questions, once you have posted the laboratory test you are exploring. You will post the answers to the questions in the body of the forum. Your answer should be no more than 1 single spaced page, not including the references. You may use credible academic resources on the internet and other references (books, articles) to answer the questions. You may also include any information from the person or persons with whom you worked in the laboratory. Identify the title of the person and verify that the information is valid before using it to substantiate your answers. What is the reason or indication for the test(s)? What is the sensitivity and specificity of the test? Is it a valid test? What is the procedure for the test(s)? (E.g., How is specimen collected, color of the tube (if tube used), centrifuge or not, refrigeration or not) What are the normal reference values for the test(s) (Across the lifespan- results may vary by age group)? What are clinical implications for abnormal results (High or Low results= what possible disease(s) are present)? What are potential interfering factors for the results? What is the patient education you would provide pre and post testing? 5. Remember to cite all sources correctly, using APA format and provide a reference list. Due by 11:59PM ET Wednesday
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