Title: Routine Blood Results Explained: A Guide for Nurses and Allied Health Professionals; Third Edition
Author: Dr Andrew Blann
Publisher: M&K Update Limited
Reviewer: Adam Fitzgerald, staff nurse, Cardiac HHDU
What was it like?
A book aimed at deciphering the complicated world of blood results, why they are ordered and what they can indicate.
What were the highlights?
This book is aimed primarily at nurses and allied healthcare providers who would order and interpret bloods. It is split into easy sections of biochemistry and haematology with ideal reference ranges at the end of the book with a glossary.
Strengths & weaknesses:
The book begins by explaining the different specialities or haematology and biochemistry. It handily breaks these down into two different chapters as if they are two separate books that can be read separately on their respective subjects. The author manages to explain the uses for tests as well as their indications providing examples of case studies and examples from his own blood results adding real life examples to the interpretation of numbers.
However there are a couple of things that appear to not apply to a clinical environment, such as one example that hypoglycaemia is considered as 2.8mmol/l whereas on a ward environment this would be considered more of a severe hypoglycaemia as well as the indication that tPA being used as a primary treatment for an acute myocardial infarction, whereas most common practice is to use stenting in the PPCI setting. Although these are two minor observations it does make the reader realise about application from the lab to the clinical setting.
One key point that the author makes is that although a patients’ result may be within or out of the normal range as considered in textbooks and guidelines from the lab those results may be normal for that patient and that every case should be considered on their own merits.
Although the book only ever states to be an introduction to blood results, some of the cases it quotes could do with some more comprehensive referencing however, there are further reading links if required.
Who should read it?
This book is aimed at those that are just beginning to order and interpret blood results and provides a helpful quick reference being able to navigate easily to check your knowledge. Primarily it would be helpful to both those in a hospital or community setting that deal with patients blood results and wish to gain a grasp or why the tests are ordered and initial interpretation.