Title [COMPILED] CHIC Learning Module AY 2023 - 2024.pdf ✅

1 Full Residential Track Charity – In Patient Clinic Rotation Learning Module Laboratory Findings (Pertinence and Implications to Acute PT Care)
Laboratory Findings (Pertinence and Implications to Acute PT Care) CHIC LEARNING MODULE 2 This material is a property of UP PGH Department of Rehabilitation Medicine - Division of Physical Therapy. Please obtain permission prior to use for other purposes. OBJECTIVES At the end of this module, the reader will be able to: ● Identify pertinent laboratory findings that need consideration when dealing with patients in the acute care setting. ● Identify normal ranges for the laboratory values considered relevant to physical therapy acute care (i.e. Ph, CBC, Blood Sugar, O2 Sat etc.) ● Recognize laboratory values that are outside the normal ranges and state the physiologic significance of such findings. ● Identify implications to treatment of specific laboratory values various cases. OUTLINE I. INTRODUCTION II. COMPLETE BLOOD COUNT III. BASIC METABOLIC PANEL IV. COAGULATION PROFILES V. PHYSIOLOGIC MEASURES VI. TUBERCULOSIS SCREENING TESTS VII. TESTS FOR ASSESSING HEPATIC INTEGRITY VIII. SAMPLE CASES IX. REFERENCES
Laboratory Findings (Pertinence and Implications to Acute PT Care) CHIC LEARNING MODULE 3 This material is a property of UP PGH Department of Rehabilitation Medicine - Division of Physical Therapy. Please obtain permission prior to use for other purposes. INTRODUCTION A hospital’s acute care setting is indeed a challenging environment for physical therapists. One of the therapist’s primary duty in this type of setting will be handling of patients of different active, incompletely or completely resolved conditions. Such may include post-operative, cardiac, spine and burn patients along with those in the intensive care unit (ICU) (pedia/general), etc. These patients are usually admitted on an inpatient basis, which, depending on the severity are closely monitored by doctors and other paramedical professionals. Despite such intensive measures on ensuring safety, current medical practice still emphasizes the importance of acute physical therapy in preventing deleterious effects of immobilization. A conflict then lies between a therapist’s responsibility to guide his/her patients towards effective prevention of such ill effects of prolonged bed rest and his/her duty to ensure patient safety at all times. An aid to resolving such conflict can be culled from the ability to take note of and interpret pertinent laboratory findings. Also, competence in relating such findings in deciding as to whether or not therapy plans can be safely pursued is considered to be a professional qualification for an acute physical therapist. Clinical decision making as to whether or not a specific intervention will be beneficial or harmful for patient through making best use out of pertinent laboratory results is a prerequisite of a good and effective therapy program. It is important to note that laboratory findings can neither be the sole basis for totally deferring treatments for patients nor could it be a stand-alone indication of patient safety. Despite the availability of up to date and detailed laboratory results, it will be vital to remember the following postulates when dealing with a patient in the acute setting: ● Communication with other health workers specifically nurses and physicians are of utmost importance. ● Individual factors such as age diagnosis race must be considered at all times. ● Close monitoring of a patient’s reaction is a prerequisite to a safe and effective therapy procedure. ● Always take note of patient’s current medication. MAIN GROUPS OF LABORATORY TESTS OFTEN ORDERED FOR PATIENTS UNDER ACUTE PHYSICAL THERAPY [4] GROUPS SIGNIFICANCE Complete Blood Count (CBC) Test that reflect the concentration of cells and proteins per sample of blood.
Laboratory Findings (Pertinence and Implications to Acute PT Care) CHIC LEARNING MODULE 4 This material is a property of UP PGH Department of Rehabilitation Medicine - Division of Physical Therapy. Please obtain permission prior to use for other purposes. Basic Metabolic Panel (BMP) A group of 8 total specific rests reflective of a patient’s electrolyte level, acid/base balance, blood sugar, and/or kidney status. Coagulation profiles Vital tests needed for close monitoring of patient’s tendency for either excessive bleeding or unnecessary clot formation. Physiologic Measures Used in conjunction with other laboratory tests to ascertain exercise tolerance and monitor patient’s response to activity. COMPLETE BLOOD COUNT Fishbone Schematic [1]: LEUKOCYTES (WHITE BLOOD CELLS) ● Clinical Significance: o Mobile units of the body’s protective system. [2] o Most WBCs are specifically transported to areas of serious infection and inflammation, thereby providing a rapid and potent defense against infectious agents. [2] o There are 6 types of WBC: [2] ▪ Polymorphonuclear Neutrophils ▪ Polymorphonuclear Eosinophils ▪ Polymorphonuclear Basophils ▪ Monocytes ▪ Lymphocytes ▪ Plasma Cells (Occasionally) ● Normal Ranges: APTA [3] UP-PGH (General Inpatient) 5.0-10.0 109 /L 4.5-11.0 x109 /L