Neonatal Lab Interpretation
Neonatal Lab Interpretation
Tanya Hatfield, MSN, RNC-NIC
UCSF Benioff Children¡¯s Outreach Services
¡°Lab
called¡
your CBC
clotted¡±
2
Objectives
? Interpret lab values
? Discuss jaundice of the newborn
? Understand specific hematologic problems
3
CBC-Hematopoiesis
4
Erythrocytes-RBCs
? Main protein is hemoglobin (Hgb)
? RBC function is to protect Hgb
? Hgb function is oxygen/CO2 transport
Reticulocytes
? Inversely proportional to GA at birth
? Falls quickly to less than 2% by 7 days
? Elevated early Retic Ct may indicate bleeding,
hemolysis or chronic blood loss
5
Kenner, C. (2014). Comprehensive neonatal nursing care (Fifth ed., pp. 334-338)
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