Hematology/Serologies Flashcards
Hematology: your patient has a beefy red tongue (glossitis)….is it B12 deficiency or folate?
B12 deficiency
S/S/ labs iron deficiency anemia
nail ridges/pitting
Pica (tar & ice)
pale
fatigue
tachycardia
low MCV
HIGH total iron binding capacity levels (TIBC)
What do we need to limit in children until 12 months of age to prevent iron deficiency anemia from occuring?
whole milk
What type of anemia is thalassemia?
microcytic anemia
How to diagnose thalassemia and sickle cell anemia?
hemoglobin electrophoresis
What is a big concern in a patient that has thalassemia and has an overload of ____ element in blood?
why?
IRON
increased intestinal absorption of iron on top of thalassemia patients requiring a lot of transfusions
Causes of sickle cell crisis?
illness
dehydration
This is why they need to be vaccinated
what does a HBsAG mean?
either acute or chronic infection
AG = always growing
What lab value means the patient has an acute HepB infection?
IgM
M = Misery
What lab value means the patient no longer has HepB in their system?
IgG
G = Gone
What does a
(NEG) HBsAg
(POS) IgG
indicate?
the infection is gone
What does a
(POS) HBsAg
(POS) IgG
indicate?
Chronic infection
Treatment for someone that was exposed to Hep B and having had the HepB vaccine
Give HepB vaccine and HepB immunoglobulin
Can pregnant women receive the HepB vaccine?
yes because the baby can receive it within 24 hours of birth
What if your patient that’s <7 years old doesn’t know their total vaccination status?
<7years =
-Dtap
D = dwarf
> 7years
-Tdap
T = tall
