Name:
Date of Birth:
Address:
Hospital No:
NHS Number:
GP Name:
GP Surgery address:
GP Surgery Telephone no:
Consultant/Specialist:
Consultant/Specialist Telephone No:
Additional Telephone contacts:
Dermatology Specialist Nurse advice Line - 0161 206 4080
Appointments - 0161 206 4100
Medication table
Blood Test Monitoring Record
What the terms mean
When checking blood results, the doctors and nurses are not only looking at 'what is normal for you', but also any trends in the blood results that might change gradually over time. These gradual 'trends' can be important as normal values.
Hb - Haemoglobin is the oxygen-carrying protein inside red blood cells: low levels may show that you are anaemic
WBC - White blood cells are important for fightening infections
Neutrophils - A type of WPC that increases rapidly to fight infection
Platelets - Platelets are essentail for normal blood clotting
ALT/AST/Alk Phos - These show how your liver is working
Creatinine - This shows how your kidneys are working
This monitoring leaflet will be used to record instructions about your medication dose ad results of the blood test done to check that the medication is still safe for you to take.
Please bring it with you to all your hospital appointment and when you see your nurse, pharmacist, dentist or GP.
Date of Review: September 2024
Date of Next Review: September 2026
Ref No: PI_M_1959 (Salford)