Hematology Flashcards

1
Q

What is thrombotic thrombocytopenia purpura?

A

platelets abnormally clump together leaving only a few available for clotting

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2
Q

What is tranexamic acid?

A

antifibrinolytic agent that can be used during surgery to minimize blood loss and improve hemoglobin and hematocrit levels

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3
Q

What is a reticulocyte?

A

immature RBC that still has its nucleus

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4
Q

Why should patients get vaccinated at least 2 weeks before a splenectomy?

A

Chances of infection are increased after surgery because the spleen performs a lot of protective immune functions.

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5
Q

What are some causes of iron deficiency anemia?

A

blood loss, malabsorption problems, poor diet, chronic alcoholism

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6
Q

What are causes of vitamin B12 deficiency anemia?

A

vegan diets or other diets that lack protein, small bowel resection, malabsorption issues, diverticula, tapeworm, or overgrowth of intestinal bacteria

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7
Q

What are sx of vitamin B12 deficiency?

A

pallor, jaundice, glossitis, fatigue, weight loss, and paresthesia

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8
Q

Why is vitamin B12 deficiency most common in older adults?

A

They have less intrinsic factor which carries B12 down the small intestine for absorption

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9
Q

What is pernicious anemia?

A

Failure to absorb vitamin B12 d/t intrinsic factor deficiency (autoimmune disorder)

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10
Q

What is the difference between pernicious anemia and vitamin B12 deficiency?

A

Pernicious is lack of intrinsic factor

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11
Q

What is prothrombin time (PT)?

A

measures how long blood takes to clot

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12
Q

When do we call a provider/rapid response for an abnormal PTT value?

A

Greater than 70 seconds

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13
Q

What is a normal PT range?

A

11-12.5 seconds

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14
Q

What is a normal PTT range?

A

25-35 seconds

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15
Q

What does an increased coagulation value mean?

A

longer clotting times (desirable for therapy with warfarin)

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16
Q

What does a decreased coagulation value mean?

A

hypercoagulation and increased risk for VTE

17
Q

What is a normal INR range?

A

0.8-1.1

18
Q

What is a normal WBC range?

A

5000-10,000

19
Q

What is normal hemoglobin rage?

A

F: 12-16 g/dL
M: 14-18

20
Q

What is a normal hematocrit range?

A

F: 37-47%
M: 42-52%

21
Q

Difference between PTT and PT?

A

PTT- intrinsic clotting cascade (more sensitive)

PT- extrinsic clotting cascade

22
Q

What is the anti-factor Xa test?

A

Measures the amt of anti-activated factor X in blood which is affected by heparin.

23
Q

What is the antidote for heparin?

A

protamine sulfate