Cardio #2 Flashcards

1
Q

Because RBCs lose their nucleus during erythropoiesis, they have a relatively short lifespan. On average, how many days do RBCs live/circulate?

A

120 days

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2
Q

What is the other name for red blood cells (RBCs)?

A

Erythrocytes

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3
Q

What protein makes up the bulk of RBC structure and what is the function of this protein?

A

Hemoglobin- binds to oxygen

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4
Q

What happens during the Vascular spasm phase of hemostasis?

A

Blood vessels constrict to reduce blood flow past site of damage (reduce blood loss)

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5
Q

What happens during the Platelet plug formation phase of hemostasis?

A

Platelets are activated when exposed to tissues behind the endothelium and stick to the site of damage and each other to form a temporary plug

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6
Q

What happens during the Coagulation phase of hemostasis?

A

Activation of various factors in blood via the clotting cascade to ultimately convert fibriogen into fibrin. Fibrin stands form a reinforcing network around the platelet plug, trapping red blood cells and forming a complex blood clot over the damaged area.

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7
Q

what is anemia and why does it occur?

A

Anemia means the blood can’t carry enough oxygen to the body.
This can happen because:
- There are not enough red blood cells
- Hemoglobin is too low
- Red blood cells are damaged or made wrong

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8
Q

what are common Signs & Symptoms of Anemia

A
  • Fatigue or tiredness
  • Feeling cold, especially in hands/feet
  • Pale skin (pallor)
  • Fast heartbeat or palpitations
  • Dizziness or shortness of breath
  • Numbness, weakness
  • Some may also have brittle nails, sore tongue, or jaundice (depending on the type)
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9
Q

What is iron Deficiency Anemia and what is it caused by?

A

The most common type of anemia
it is Caused by too little iron from:
- Poor diet
- Heavy periods
- Blood loss
- Growth or pregnancy
- Gut conditions (e.g. Coeliac, Crohn’s)

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10
Q

what are the treatments used for iron deficiency anemia, and what are possible side effcects?

A

Iron supplements and diet changes. side effects can include Constipation, Nausea and
Black stools

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11
Q

who is the most at risk for iron deficiency anemia?

A

-Infants, children, teens (growth spurts)
-Pregnant people
-Heavy menstruation
-Poor diet/food insecurity
-Intestinal diseases (e.g. Crohn’s)
-Surgeries like gastrectomy

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12
Q

What is the pathophysiology of iron deficiency anemia?

A

When there’s not enough iron, the body can’t make enough hemoglobin, so red blood cells carry less oxygen. These cells become small and pale. With less oxygen in the body, people feel tired, dizzy, and short of breath. The heart has to work harder to pump blood, and other organs can also be affected.

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13
Q

What is Macrocytic Anemia?

A

A condition where red blood cells are larger than normal, often due to a lack of vitamin B12 or folic acid. It can cause fatigue, weakness, and pale skin. Treatment usually involves vitamin supplements.

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14
Q

what are the Causes of Macrocytic Anemia?

A

-Folate Deficiency: Insufficient folate for RBC production.

-Vitamin B12 Deficiency: Lack of B12 affects RBC maturation.

-Poor Diet or Absorption: Low intake or difficulty
absorbing B12/folate.

-Alcoholism: Interferes with folate absorption.

-Pernicious Anemia: Lack of intrinsic factor prevents B12 absorption.

-Increased Folate Loss: Conditions like dialysis increase folate loss.

-Increased Demand: Pregnancy increases need for folate.

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15
Q

What are the different kinds of anemia?

A

-Macrocytic Anemia
-Iron Deficiency Anemia
-Hemolytic Anemia
-Anemia of Chronic Disease
-Post-Hemorrhagic Anemia
-Aplastic Anemia
-Sickle Cell Anemia
-Thalassemia

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16
Q

what is Thalassemia anemia and what are the symptoms and causes ?

A

Inherited disorder affecting hemoglobin production.

Causes: Abnormal globin chain synthesis.

Symptoms: Fatigue, jaundice, bone deformities.

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17
Q

what is Sickle Cell Anemia and what are the symptoms and causes?

A

Inherited; RBCs are abnormally shaped and stiff.

Causes: Genetic mutation leading to defective hemoglobin.

Symptoms: Pain episodes, fatigue, jaundice, risk of infections.

18
Q

what is Aplastic Anemia and what are the symptoms and causes?

A

Bone marrow failure; reduced RBC production.

Causes: Stem cell damage from toxins, infections, or drugs.

Symptoms: Fatigue, weakness, infections, bleeding.

19
Q

what is Post-Hemorrhagic Anemia and what are the causes?

A

Due to sudden blood loss faster than RBC production.

Causes: Trauma, surgery, or bleeding disorders.

20
Q

what are the causes and symptoms of Anemia of Chronic Disease

A

Caused by chronic infections or inflammatory disorders (e.g., lupus).

Symptoms: Fatigue, pale skin, weakness.

21
Q

What is thrombocytopenia?

A

Thrombocytopenia means having very low platelets in your blood. Platelets help with clotting, so if they’re low, it’s easier to bleed. You might see spots on your skin or have bruising. It can happen because your body isn’t making enough platelets, or it’s destroying them too quickly. It can be caused by infections, autoimmune diseases, or cancer.

22
Q

What is hemophilia?

A

Hemophilia is a genetic condition where your body doesn’t have enough of the proteins needed to form blood clots. This means you bleed for longer if you get a cut or injury. There are two main types: Hemophilia A (missing clotting factor VIII) and Hemophilia B (missing clotting factor IX). People with hemophilia often get joint bleeding, which can cause pain. Treatment involves giving clotting factor products.

23
Q

What is disseminated intravascular coagulation (DIC)?

A

DIC (Disseminated Intravascular Coagulation) is a condition where the blood forms small clots throughout the body. These clots can block blood flow and damage organs.

24
Q

What is deep vein thrombosis (DVT)?

A

DVT (Deep Vein Thrombosis) is when a blood clot forms in a deep vein, usually in the legs. It can block blood flow and cause problems like swelling or pain.

25
What is a pulmonary embolism (PE)?
PE happens when a blood clot from your leg (from DVT) breaks loose and travels to your lungs. This can block blood flow and cause problems like difficulty breathing, chest pain, and even shock. A PE can be life-threatening, so it needs to be treated with medicines that prevent clotting.
26
What are the causes of disseminated intravascular coagulation (DIC)?
DIC can be triggered by things like: -Severe infections (sepsis) -Major injuries or trauma Cancer -Complications from pregnancy (like preeclampsia) -Heavy bleeding (hemorrhage) -Shock
27
what are the signs and symptoms of disseminated intravascular coagulation (DIC)?
Symptoms of DIC include: -Bruising and spots on the skin (petechiae, purpura, ecchymoses) -Bleeding from wounds, IV sites, or mucous membranes (like gums or nose) -Difficulty breathing (respiratory distress) -Organ failure or shock -Pain in different parts of the body due to internal bleeding
28
How does disseminated intravascular coagulation (DIC) affect blood clotting?
In DIC, blood clots form all over your body, which can block blood flow. At the same time, the body starts breaking down these clots, leading to the depletion of clotting factors, causing more bleeding. This can lead to both clotting and bleeding problems.
29
what causes deep vein thrombosis (DVT)?
DVT is caused by three main things: 1- Damage to a blood vessel (like after surgery or injury) 2- Slow blood flow (from sitting or lying still for a long time) 3- Blood that clots too easily (from certain health conditions or medications)
30
What are the risk factors for deep vein thrombosis (DVT)?
Risk factors include: -Recent surgery -Being immobile (bed rest or long travel) -Obesity -Smoking -Pregnancy -Blood clotting disorders -Dehydration -Older age
31
What are the signs and symptoms of deep vein thrombosis (DVT)?
Some people may not have symptoms. Others might have: -Swelling in the leg -Pain or tenderness -Warmth or redness in the affected area
32
How can deep vein thrombosis (DVT) link with pulmonary embolism (PE)?
DVT is a blood clot in a deep vein, usually in the leg. If the clot breaks off and travels to the lungs, it becomes a pulmonary embolism (PE), which can block blood flow and be life-threatening.
33
What is the purpose of anti-platelet medication like Aspirin?
To prevent blood clots from forming, especially in people at risk (e.g. after surgery or with heart disease).
34
How does Aspirin work?
It binds to platelets and stops them from sticking together, preventing a clot from forming.
35
What are common side effects of Aspirin?
Bleeding (especially in the stomach), and Reye’s syndrome if given to children with viral illness.
36
What should nurses monitor with Aspirin?
Watch for dark, tarry stools or stomach pain – signs of GI bleeding.
37
What is the purpose of anticoagulant medication like Warfarin?
To reduce clot formation by blocking vitamin K, which is needed for clotting.
38
How does Warfarin work?
It blocks vitamin K, which is needed to activate clotting factors in the blood.
39
What are some risks with Warfarin?
High risk of bleeding, including hemorrhagic stroke.
40
what class is medications like aspirin?
anti-platelets
41
what class is medications like warfarin?
Anticoagulant
42