PRINCIPLES OF NURSING 3
medication of 1 drop per eye of latanoprost to treat her primary open angle glaucoma. The lab
tests of Anna Maria which were taken two months ago, showed that her hemoglobin level was
146 grams per which was normal, hematocrit level was 40% indicating it was normal, mean cell
HB was also good, and mean corpuscular volume was 88% indicating it was normal. The other
tests for mean corpuscular hemoglobin concentration (310 g/L), neutrophils (5.1 109 /L),
lymphocytes (2.3 109 /L), white cell count (8.2 109 /L), monocytes (0.3 109 /L), eosinophils (0.1
109 /L), Basophils (<0.1 109 /L), and platelets (280 109 /L) all passed showing that her blood
was in good status. The other tests that had been conducted were the liver function test and the
biochemistry composition in her body. The results for the liver function test suggested that her
bilirubin level (12 umol/L), Alkaline Phosphate level (110 U/L), Aspartate aminotransferase
level (30 U/L), Gamma-glutamyltransferase level (22 U/L), and Alanine aminotransferase (38
U/L) were all in a normal range. The only difference was the protein level (55 g/L) which was
not on the normal range of 60- 80 grams per liter and albumin level (50 g/L) which was not on
the normal range of 32-48 grams per liter. The protein level and albumin level may be low and
high, respectively, due to her age.
Anna Maria’s biochemistry results showed that her sodium concentration (137 mmol/L), calcium
concentration (2.30 mmol/L), potassium concentration (4.5 mmol/L), chlorine concentration
(102 mmol/L) and magnesium concentration (0.9 mmol/L) were all in normal conditions
(Warwick et al., 2015) Furthermore, the biochemistry results also showed that her urea
concentration (5 mmol/L), cholesterol (5.0 mmol/ L), High-Density Lipoprotein cholesterol
concentration (1.0 mmol/ L), and bicarb concentration (24 mmol/L) were all in normal levels.
Moreover, her biochemistry results also suggested that her creatinine concentration (82
mmol/L) and fasting triglycerides level (1.8 mmol/L), were all in good conditions. The only

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Principles of Nursing: Clinical Reasoning Cycle for Patient Assessment

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