Ch_4 - Hematology

Question 1

Section 1: ANEMIA

Answer 1

blank

Question 2

can the etiology of anemia be determined by symptoms?

Answer 2

no

Question 3

The symptoms of anemia are determined by…?

Answer 3

severity (ie, Hgb level)

Question 4

Hgb 9-10 can present with what sx?

Answer 4

fatigue/tiredness

Question 5

Hgb 7-8 can present with what sx?

Answer 5

SOB

Question 6

Hgb 5-7 can present with what sx?

Answer 6

Lightheadedness, chest pain, syncope

Question 7

if pt has severe anemia (Hgb 5-7), what diagnostic study should you get?

Answer 7

EKG and cardiac enzymes

Question 8

Anemia symptoms are similar to hypoxia symptoms, but you shouldn’t treat with ___ alone

Answer 8

oxygen

Question 9

How do you work up anemia?

Answer 9

CBC for H/H, platelets, RDW, and MCV
Retic count
Stool guiac
PT/INR

Question 10

how is platelet count helpful?

Answer 10

low platelets may indicate BM production defect

high platelets may be present in IDA

Question 11

importance of MCV?

Answer 11

cell size is FIRST clue to etiology

Question 12

importance of RDW?

Answer 12

high RDW may be present in IDA

Question 13

low retic count?

Answer 13

production defect

Question 14

high retic count?

Answer 14

bleeding or hemolysis

Question 15

stool guaiac?

Answer 15

may indicate GI bleed