MSII
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| Reticulocytes | Immature red blood cells
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| About how long do platelets last? | 4-10 days
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| Where are platelets formed? | Bone Marrow
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| What is the Spleen's nickname? | the recycler
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| What is the spleen's function? | Remove old and defective erythrocytes, ..."ideal filter mechanism" and something about reusing iron. Immune: rich supply of lymphocyte and monocytes.
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| Where is the preferred location for bone marrow examination? | Posterior Iliac Crest
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| What is Leukemia? | An outrageous amount of WBC. Therefore less room for other blood cells.
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| What is the most common cause of anemia worldwide? | Iron deficiency Anemia
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| How should iron be administered to a patient? | Liquid should be through straw. IM injection should use Z track method & no massage afterwords to prevent leakage.
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| What is Cobalamin Deficiency? | B12 deficiency.
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| What is the most common cause of cobalamin deficiency? | perniciuos anemia
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| What are some Neuro and GI symptoms of Cobalmin deficiency? | Neuro: weakness, paresthesias of feet&hands, ataxia, muscle weakness, impaired thoughts processes.
GI: sore tongue (glossy and smooth) anorexia, N/V, & abdominal pain.
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| Diagnosis of serum cobalamin? | Schilling test
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| What is |
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| Who is at risk for Folic Acid Deficiency? | Alcoholics and hemodialysis patients
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| What is a therapy regimen for Folic Acid Deficiency? | 1mg per day by mouth, up to 5 mg per day. Duration of treatment depends on reason for deficiency.
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| What is a medication administered for management of Sickle Cell Anemia? | Hydroxyurea: It increases Hg F, Suppresses Bone Marrow, Increases risk of leukemia.
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| What are some complications of Sickle Cell Disease? | Splenic Infarct, Acute chest complications, priapism, skin ulcers, Increased Risk of stroke, MI, Renal Failure.
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| What is Hemostasis? | Stopping of flow chart.
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| What is primary hemostasis? | vasoconstriction, platlet adhesion, aggregate plug formation.
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| What are some examples of secondary Hemostasis? | Stabilizing clot, maintain vasoconstriction, initiating clotting pathway.
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| What is Thrombocytopenia? | Low Platelet count
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| What are some presentations of Heparin Induced thrombocytopenia? | Bruise easily, may appera as petechia, bleed easily, and ALTERED MENTAL STATUS.
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| In a situation with Heparin Induced Thrombocytopenia, when is coumadin initiated? | When platelet count reaches 100,000/microliter.
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| Name examples of Nursing Care for Thrombocytopenia. | Avoid IM injections, Consider IV. Platelet transfusion if indicated.
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| What is the most common inherited bleeding disorder? | Von Willebrand's disease.
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| What is Von Willebrand's disease? | Problem with vW factor protein. Pts have higher instances of bleeding, which is important to know prior to surgery.
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| What are some lab findings of DIC? | Fibrin Split Products ↑
D-Dimer +
PT/INR ↑
aPTT ↑
Platelet count ↓ (completely used up)
Fibrinogen ↓(completely used up)
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