Labs: All labs taken as routine after surgery

- Hemoglobin 02/19/2019 patient value: 14.0 g/dL normal range: 14-18 g/dL
- Hematocrit 02/19/2019 patient value: 40.7%
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-Erythrocytes 02/19/2019 patient value: 4.66 normal value for men: 4.35-5.65 cells/L
-Platelet count 02/19/2019 patient value: 366 an abnormally high value. The normal value range for men is 135-317 billion/L. High platelet count can be caused by: Thrombocytosis and iron deficiency anemia. With too many platelets the blood will clot too easily.
Nursing interventions: Assess patient for signs of DVT and pulmonary embolism, ambulating the patient, administering anti-coagulants and applying SCDs.
-Monocyte count 02/19/2019 patient value: 0.89 an abnormally high value. The normal value range is 0.26-0.81. High monocyte count can be caused by: Blood disorders, infection, autoimmune diseases and obesity. Nursing interventions: Assess the patient for new signs of infection, keep a constant monitor on the patient for changes in status. Ask the patient if he has a history of any diseases that aren't in his chart.
- Basic Metabolic Panel 02/19/2019 Patient values: Calcium: 9.8 mg/dL (normal value 8.6-10.0 mg/dL ) Bicarbonate: 29 mmol/L (normal value 22-29 mmol/L) Chloride: 102 (normal value) Creatinine: 0.82 mg/dL (normal value for men 0.74-1.35 mg/dL) Glucose: 107 mg/dL (normal value 70-140 mg/dL) Potassium: 5.5 mmol/L (an abnormally high value, value normal is 3.6-5.2 mmol/L) Sodium: 14.3 (normal value is) BUN: 13 mg/dL (male normal value 8-24 mg/dL)
-Potassium 02/19/2019 value 5.5 mmol/L is a high value. A high potassium value can be caused by: Excessive dietary intake, acute and chronic renal failure, infection or dehydration.
Nursing interventions: Assess ECG and pulse for bradycardia, assess urine output and check patient for nausea and vomiting. Check intake and output status and make sure the patient isn't eating foods with potassium.

Diagnostic tests:
- X-ray imaging of teeth 02/18/2019 Taken to get imaging of the patient's teeth. They found multiple large carries (cavities) of the upper front teeth.
- Actinomyces culture 02/19/2019 Taken to detect if the rare infectious bacteria actinomyces is present, if infected it can cause sores or abscesses in soft tissues. The results didn't come back from the lab at the time I was giving care.
- Bacterial culture 02/19/2019 Taken to help find harmful bacteria present in the patient's body. The results didn't come back from the lab at the time I was giving care.
- Gram stain 02/19/2019 taken to detect the presence of bacteria in a sample from the site of infection. The patient's gram stain had no organisms seen and few white blood cells in the stain.
- Surgical pathology: frozen lab 02/18/2019 mandible tissue was taken during surgery to analyze and diagnose tissue samples. The results didn't come back at the time I was giving care.
- Fungal Culture 02/19/2019 Taken to determine if fungi are present and causing infection. The results didn't come back at the time I was giving care.
- Urine drug screen 03/07/2018 Didn't indicate why the patient's urine was screened for drugs at the time and didn't give values. Results were positive for tetrahydrocannabinol or THC, Tricyclic antidepressants, amphetamines and methamphetamines. Doing these drugs especially amphetamines and methamphetamines cause severe tooth decay and gum disease. Teeth are known to break or fall out.

Specialties/ services collaborating: Infectious diseases did the laboratory tests and cultures to see if the patient has an infectious disease. The infectious disease consult reported that the patient isn't infectious or at risk. 

 Intended effect for patient: Used to reduce nausea and vomiting after surgery.
Patient education: This medication causes confusion, dizziness, sweating and unusual sweating as side effects. It can also cause effects on your heart rhythm. Report to a healthcare professional immediately if you feel like you have chest pain, fast heartbeat, signs of an allergic reaction, tightness of chest or trouble breathing. These signs could mean a medical emergency.

Intended effect for patient: Used for moderate to severe chronic pain.
Patient education: This medication is a drug with known abuse potential. It can cause drowsiness or dizziness avoid activities that require alertness, avoid alcohol and other CNS depressants on this medication, encourage patient to turn and cough along with deep breathe every 2 hours.