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ATI-MedSurge-HEMATOLOGY

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Answer
RBC: reference range   F: 4.2 - 5.4 m/uL; M: 4.7 - 6.1 m/uL  
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WBC: reference range   5,000 - 10,000 uL  
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MCV (measurement of weight of RBCs): reference range   80 - 95 mm3  
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MCH (measurement of size of RBCs): reference range   27 - 31 pg/cell  
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TIBC (Total Iron Binding Capacity): reference range   250 - 460 mcg/dL  
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Iron: reference range   F: 60 - 160 mcg/dL; M: 80 - 180 mcg/dL  
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Platelets: reference range   150,000 to 400,000 mm3  
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Hgb: reference range   F: 12 - 16 g/dL; M: 14 - 18 g/dL  
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Hct: reference range   F: 37 - 47%; M: 42 - 52%  
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PT: reference range   11 - 12.5 sec (ati) / 11 - 16 sec(textbook)  
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aPTT: reference range   1.5 to 2(desired range for anti-coagulation)  
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Decreased level of RBCs can be evidence of?   anemia  
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Elevated level of WBCs can be evidence of?   infection  
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Decreased level of WBCs can be evidence of?   immunosuppression  
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Elevated level of MCVs can be evidence of?   macrocytic (large) cells, possible anemia  
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Decreased level of MCVs can be evidence of?   microcytic (small) cells, possible iron deficiency anemia  
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Elevated level of MCHs can be evidence of?   macrocytic (large) cells, possible anemia [but measure amt. of Hgb by weight per RBC]  
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Decreased level of MCHs can be evidence of?   microcytic (small) cells, possible iron deficiency anemia [but measure amt. of Hgb by weight per RBC]  
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Elevated level of TIBC can be evidence of?   iron deficiency  
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Decreased level of TIBC can be evidence of?   anemia, hemolysis, or hemorrhage  
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Elevated level of Platelets, Hgb, Hct can be evidence of?   malignancy or polycythemia vera  
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Polycythemia vera is?   a blood disorder in which the bone marrow makes too many red blood cells  
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Decreased level of Platelets, Hgb, Hct can be evidence of?   autoimmune disease, bone marrow suppression  
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Increased PT time can be evidence of?   deficiency or clotting  
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Decreased PT time can be evidence of?   evidence of vitamin K excess  
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aPTT measures?   the intrinsic clotting factors  
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aPTT is monitored for _____ therapy.   heparin  
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Increased aPTT time can be evidence of?   hemophilia, disseminated intravascular coagulation (DIC), or liver disease  
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INR: reference range   2 - 3 on warfarin therapy  
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D-dimer: reference range   0.43 - 2.33 mcg/mL; 0 - 250 ng/mL  
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Fibrinogen levels: reference range   170 - 340 mg/dL  
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Fibrin degradation products (FDP): reference range   < 10 mcg/mL  
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INR measures?   mean of PT  
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D-dimer measures?   hypercoagulability of blood  
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Elevated D-dimer can be evidence of?   a clot formation  
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Fibrinogen levels measures?   available fibrinogen for clotting  
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Decreased Fibrinogen levels can be evidence of?   decreased ability to clot  
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Elevated FDP can be evidence of?   clot dissolving activity (fibrinolysis) is occurring  
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FDP monitors?   the efficacy of medications for DIC  
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Preliminary results of hemotologic tests are available within _____ to _____ hrs, final in _____ hrs?   24, 48, 72  
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Pt. presents to ED, reports thirst, tiredness, difficulty concentrating, nurse should suspect _____ and get lab for _____?   anemia; Hgb  
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To confirm hemophilia, _____ test should be ordered.   aPTT  
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Bone Marrow Biopsy is used to diagnose?   cell type, confirm/rule out malignancy, blood disorders aspiration, thrombocytopenia  
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Pt. position during bone marrow procedure?   prone or decubitus (side lying) to expose posterior iliac crest; knees flexed  
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Bone Marrow Biopsy is usually done with _____ anesthesia?   local  
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If an infection of the bone is suspected, the Bone Marrow Biopsy procedure can still be performed (Yes or No)   No, procedure should be held  
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Risk of bleeding during a Bone Marrow Biopsy is (high / low)   low, procedure can be done even with thrombocytopenia present  
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Bone Marrow Biopsy is done (before / after) a Bone Marrow Aspiration?   after; using same aspirate site for biopsy needle entry  
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Prior to removal of biopsy needle, surgeon should?   rotate needle 360 deg. clock/counter clockwise, rock back and forth, turn while rotating  
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Biopsy specimen should be ____ cm in length from an adult.   2 cm  
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Lymphocyte: reference range   20% - 40%  
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WBC Differential (measures if each kind of cell is present in proper proportion): reference range   neutrophil 0.5-0.7 / eosinophil 0.0-0.4 / basophil 0.0-0.2 / lymphocyte 0.2-0.4 / monocyte 0.04-0.08  
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Reticulocytes mature into RBCs in about _____.   1 day  
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Platelets form from _____ in the bone marrow.   megakaryocutes  
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Lifespan of platelets is approximately _____.   10 days  
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Plethora (ruddy skin color) may be indicative of?   polycythemia (excessive RBCs)  
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Hemoglobin measures?   gas carry capacity of RBCs  
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Hemoglobin : reference range   F: 11.7 - 16.0 / M: 13.2 - 17.3 g/dL  
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Hematocrit is a measurement of?   packed cell volume of RBCs expressed as a percentage of the total blood volume  
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Hematocrit : reference range   F: 35% - 47% / M: 39% to 50%  
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Bence Jones Protein is usually found in urine studies of pts. with?   multiple myeloma  
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