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Med surge
Blood and Lymphatic
| Question | Answer |
|---|---|
| Characeristics of blood | rbc, wbc, and blood cell platelets |
| Plasma | 55% blood volum 45% blood cell and platelets |
| How many liters of blood are in the body | 5 to 6 liters (10 to 12 paints) |
| Purpose of blood | to transport o2, nutrition, wast, and hormons to tissue |
| Erythrocytes | rbc life span 120 days produced in red bone marrow |
| ercythropeictic factor | decrease 02 trigers factors in kidney to cause produceion or rbc in the red bone marrow |
| Hematocrit test | measure of packed blood cells% |
| Leukocytes | wbc |
| WBC:Neutrophils | Phagocytosis(digest bacteria and dead tissue, inflimation response |
| WBC:Eosinophils | alergic reaction; fight against parasitic worms 1-4% |
| WBC:Loasopohils | Release heparin to inflimation tissue injery; and histamint to allergys |
| WBC:Non granulocytes | Lymphonocyets and monocytes |
| WBC:granulocytes | Neutrophils, eosinophils, loasophils |
| WBC:Lymphocytes | antiboties B Cells find invadors T Cells expose 20 to 40% (1000 to 4000)in body |
| WBC:Monocytes | phagocytos (remove bacteria infection 2 to 6% 100 to 600t |
| Thrombotices (platelets) | life span 5 to 9 days; clott formation |
| Blood type:O | universal doner an ante a or b antigens |
| Blood type: AB | universal reciprent |
| Lymph nods | filter impuerities ; 500 to 600 in body; wbc production |
| Tonsils | Trap bacteria in pharynx |
| Spleen | Contain 1 pt of blood for emerhences; forms lympacytes, monocytes, and destroy old red bood cells |
| Thymus | produce immune system |
| Diagnostic test:cbc | red blood, white blood, hemocrate, hemoglobin |
| Diagnostic test:Erythrycyte indices | measure size and hemoglobin level in red blood cells |
| Diagnostic test:peripheral Smear | diff wbc can show form of anemia |
| Diagnostic test:Shilling test | Dx prenicicus anemia and lack of absorbant of B12 |
| Diagnostic test:Radiological | ct or mri spleen, liver, lympnods |
| Anemia | red blood cell hemogloben hematocrit below normal range caus low amount of 02 to tissue and cells (hgb below 8) |
| Hypovolemic Anemia | Blood loss of 1000mL or more |
| Hypovlemic Anemia S/S | hypovolemic shock, weak thready pulse, parid resporation , |
| Hypovlemic Anemia Tx | 1 replace volum 2.oxygen 3. controll bleeding 4.give iron |
| Prenicious Anemia | the absence of glycoprotein intrensic factor by the gastric mocousa of b12 |
| Aplastic Anemia | failure of normal process of cell regeneration congenetal; from to meds, chemicals, readation, ect |
| Pancytopenic | rbc wbc platelets |
| iron deficiency anemia | Decreased livels of hglob |
| Sickle sell Anemia | Cresent shape blood cells, d/t stress smoking cold (give packed cells) PCA pump |
| Polycythemia | increase number of red bloood cells circulating (cir can become sticky and slugish) |
| Lukopenia | WBC is low; Tx give packed red blood cells (avoid infection risk) |
| Lukemia | over development of wbc cells in bone marrow and lymph nods |
| colgulation disorder | impaired clotting mechanisem ; S/S pain ab bleeding/tenderness liver or gum, sleen trauma |
| Thrombopenia | platlet reduction |
| Hemophilia | absence of cloting factor |
| Willebrand's disease | inhearited disorder; slow coagulation of blood and spontanious gi bleeding, nose bleeding and gums |
| DIC | Over stimulation of coltting factor; give anti clott cactor ( can be caused by snake bite or meds) |
| Multiple Myeloma | immunedisease of the bone; tumors grow in bone marrow |
| Lymphangitis | Inflimation of one or more lymp vessels from strepp infection |
| Lymephedema | edema of the lymphthatic tissue; Tx No sodium, use diretics,stockings, rom for circulation |
| Hodgkins disease | Enlargement of lymph tissue; caused by Reed-sternburg cells that form in lymph system |
| Non-hodgkins disease | Enlarged lymph tissue; no reed-sternburg cells present; tumor in lymp system slow growing decrease immune system |
| Hodgkins disease:S/S | Night sweates, prutitus, malaise, feaver, test for iron excess in liver |
| Hodgkins disease: Tx | readation chemo mopp |