Hematological System Flashcards
1
Q
Anemia
A
decrease in hemoglobin levels in the blood secondary to decrease in RBC production, destruction or loss of blood
- symptoms
- fatigue and weakness with minimal exertion
- dyspnea on exertion
- pallor or yellow skin
- tachycardia
- bleeding of gums, mucuous membranes in absence of trauma
- severe = hypoxic damage to liver and kidney, heart failure
- medical
- variable
- transfusion
- nutritional supplements
- PT: RED FLAGS
- exercise should be instituted gradually w/ physician approval
- perceived exertion levels should be used
2
Q
Sickle Cell Disease
A
characterized by group of inherited autosomal recessive blood cell disorders; specifically hemoglobin of erythrocytes are abnormal = crescent instead of biconcave. HbSS most severe
- ischemia, occlusion, infarction
- Sickle Cell Crisis
- pain from clots, hand foot syndrome
- bone and joint crises
- neurological manifestations
- pulmonary
- aplastic and splenic crisis
3
Q
Sickle Cell Treatment PT
A
- During event
- application of warmth
- relaxation
- *Cold is contraindicated
- exercise and activity training
- exercise intolerance is common
4
Q
Hemophelia
A
group of hereditary bleeding disorders
clotting factors 8 and 9 deficient
- bleeding into joints, chronic synovitis
- medical intervention
- blood infusion
- acetaminophen NOT aspirin
- RICE and NWB during bleeds
- Complications
- joint contractures
- muscle weakness
- LLD
- postural scoliosis
- decreased aerobic fitness
- gait deviations
- equinus and lack of knee ext torque
- ADLs deficient
5
Q
Hemophelia PT exam and intervention
A
- exam
- signs/sympt of acute bleeding
- goni
- joint deformities
- muscle strength
- funx mob
- pain
- ADLs
- Intervention
- RICE
- maintain position
- Intervention Subacute
- factor replacedment before tx
- isometric and aquatic exercise
- pain management
- OKC exercise (NOT CKC)
- NO PROM
- contracture management
- funx gait training as needed
- Chronic Stage
- daily HEP
- outpatient pt
- emotional support
