LABORATORY DATA AND VALUES

Electrolytes
• Substances that dissociate into positive and negative ions in solution. It generally include sodium, potassium, chloride, and total CO2 or Bicarbonate. Though not technically electrolytes, BUN, creatinine and glucose are also part of a chemistry profile and often dictated in the same breath.

LABORATORY DATA: Electrolytes: Sodium 139, potassium 4.6, chloride 106, bicarb 28, BUN 15, creatinine 0.9, glucose 132. White count 5.9, hemoglobin 14.6, hematocrit 43.1.
Hemoglobin & Hematocrit
• Often dictated as H & H or H over H – Translate the abbreviation into their respective terms.
D: H and H 11.8 and 35.3.
T: Hemoglobin 11.8 and hematocrit 35.3.
Percentage Values
• Use the expression dictated
E.g. MCHC 34% or MCHC 0.34 or MCHC 34, polys 58% or polys 0.58 or polys 58
• Do not convert ore remove unless the forms are mixed, then make them consistent.
Specific Gravity
• Express w/ 4 digits and a decimal point place between 1st and 2nd digits. Do not drop the final zero.
Tumor Cell Markers
• Express w/ capital letters and Arabic numerals, w/o spaces or punctuation between letter and number.
E.g. CD4
Urinalysis
• Term evolved from urine analysis, which is now archaic – Edit to URINALYSIS. Used abbrv UA only if dictated.
D: Urine analysis showed T: Urinalysis showed