Hematologic dysfunction Flashcards
RBC also called
erthryoctes
platlets also called
thromboyctes
WBC also called
lukoyctes
RBC function
delivering oxygen and removing waste
platelets function
clotting
WBC function
infection
lower than normal red cell count
anemia
what causes anemia
destruction or loss of RBC
underlying disorder
hypersplenism
destroying cells that shouldn’t be
what would a iron deficient anemia person look like
pallor fatigue irratbile
pica
spooning
When do yo screen for iron deficiency
9-12 months and 15-18 months
how do you treat iron deficiency
oral iron
patial or complete replacement of normal hemoglobin with HBs
sickle cell disease
what happens in sickle cell
causes occlusion of small blood vessels ischemia and organ damage
what causes sickle cell crisis
fever, stress, hypoxia, cold , thick blood
how do you make a sickle cell normal shape
rehydrate and oxygenate
new pulmonary x ray findings chest pain fever tachypnea coughing and wheezing
acute chest syndrome
decreased production of RBC and increased destruction causing anemia and pallor
aplastic crisis
Three major things you do with sickle cell
pain med
oxygen
hydration
red blood cells are destroyed and removed from the blood stream before their normal lifespan is over
hemolytic anemia
pooling of blood in the spleen causing it to suddenly enlarge
splenic sequestration
sudden weakness pale lips rapid breahting excessive thirst belly pain
splenic sequestation
most common, caused by dehydration, temp extremes and infection… painful
vas occlusive crisis
fever tissue engogement painful swelling of joins stomach pain priaprism
vas occlusive crisis
a group of hereditary bleeding disorders resulting in a deficiency in a clotting factor
hemophilia
hemo a
lacking factor 8.. VIII
hemo b
lacking factor 9 IX
hemo c
lacking factor 11.. XI
signs of hemophilia
ecchyomis, hemarthrosis retropertineal bleed
normal fibrogen
175-400
normal PTT
22-34 seconds
normal platelet
150 - 400
normal PT
11 to 15 seconds
how we treat hemophilia
desmopressin and whatever factor they lack RICE
biggest concern with hemophilia
safety
increased destruction of platelets in the spleen
ITP
eccyomisis brusing, petechia mucosal bleeding
ITP
platelet count less than 20
ITP
goal of ITP
prevent intracranial hemorrhage
Treatment of ITP
splenectomy
