Laboratory and Diagnostic Examination

Nocturnal Blood Examination

– Consider the nocturnal periodicity of the filarial parasite to select the optimal
blood time (10 PM to 2 PM)
– Uses 20 uL of blood spread in the slide & stained with Giemsa
– Wet smear can also be made by diluting 20–40 uL of anti-coagulated blood with
water or 2% saponin which will lyse the red cells.

– Lyse – death of cell by bursting

– Saponin - chemical compounds found in natural resources( plants)

ICT

– Basis of the test: a polyclonal antibody (pAb) and a monoclonal antibody (mAb),
both specific for W. bancrofti
– Mounted on a credit card–sized cardboard
– Detects lymphatic antigens in infected humans
– When the card is folded onto itself, the sample and the pAb will come in contact
with the membrane containing the mAb
– Two lines = + result
– One line = negative

Lymphatic imaging

– By examining the passage and distribution of radiolabelled dextran in the

lymphatic system, the condition of a patient’s system can be visualized, recorded
and compared with earlier records or those of healthy individuals.

Nursing Diagnosis

– Impaired physical mobility r/t partial loss of voluntary movement of upper and
lower extremities.
 – Selfcare deficit: hygiene and bathing r/t weakness in upper and lower extremities
– Risk for injury rt

Intervention

1. Assess for ROM

2. Impart knowledge in proper hygiene
3. Safety measures

Rationale

1. To assess the capability of the pt to move.

 LICEO DE CAGAYAN UNIVERSITY
COLLEGE OF NURSING
TEACHING LEARNING GUIDE

TOPIC: FILARIASIS DATE: January 21, 2010

VENUE: Liceo De Cagayan University REPORTER: Ardon, Lester C.
GENERAL OBJECTIVES: At the end of 20 minutes, the students of NCM501202 will be able to identify the disease called Filariasis.

Specific Objectives Content Time Teaching Learning Evaluation Reference

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