Jacked up RBC Flashcards

1
Q

this disorder is caused by abnormal platelet clumping in the small blood vessels

A

Thrombotic Thrombocytopenia Purpura (TTP)

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2
Q

This disorder has platelet antibobydies that destroy platelets in blood and spleen.

A

Autoimmune Thrombocytopenia Purpura (ATP)

P.S. the destruction occurs faster than production so you have a reduced platelet count

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3
Q

This disorder has platelet antibobydies that destroy platelets in blood and spleen.

A

Autoimmune Thrombocytopenia Purpura (ATP)

P.S. the destruction occurs faster than production so you have a reduced platelet count

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4
Q

This disorder is caused by unexplained platelet drop after herparin admin.

A

Heparin Induced Thrombocytopenia (HIT)

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5
Q

Give me the patho of whats happening in HIT

A

Heparin binds to platelet factor 4
–>activates platelets
–>Microclots

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6
Q

which of these is the only one that is autoimmune in nature and has antiplatelet antibodies:

TTP
ATP
HIT

A

Autoimmune Thrombocytopenia Purpura (ATP)

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7
Q

which of these results in destruction of platlets and which of these results in using up the platelets/reduction

TTP
ATP
HIT

A

destruction = ATP

reduction = TTP/ HIT

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8
Q

what do we use to treat HIT?

A

-stop heparin
-give argatroban ( Direct thrombin inhibitor?)

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9
Q

what do. we use to treat ATP?

A
  • Immunosuppressants
  • Chemo
  • IV immunoglobulin
  • IV Anti-Rho
  • Splenectomy
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10
Q

what do we use to treat ATP?

A

Fatal if Untreated.
* Anticoagulants
* Platelet inhibitors
* Plasma Exchange

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10
Q

what do we use to treat ATP?

A

Fatal if Untreated.
* Anticoagulants
* Platelet inhibitors
* Plasma Exchange

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11
Q

which of these have microclots leading to ischemia?

TTP ATP HIT

A

TTP, HIT

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12
Q

you can have hit within ____ days of taking heparin

A

100

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12
Q

you can have hit within ____ days of taking heparin

A

100

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13
Q

assessment findings for thrombocytopenia

A

Bruises
Petechiae
Purpura
Mucous membrane bleeding
Anemia

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14
Q

assessment findings for thrombocytopenia are first seen where (general system)

A

skin and mucous membranes

15
Q

in addition to microclots HIT also has risk of…

A

VTE/ PE

16
Q

in addition to microclots HIT also has risk of…

A

VTE/ PE

17
Q

intervention for anemia?

A

blood transfusion

18
Q

platelets < ____ = platelet transfusion needed

A

10,000

19
Q

platelets < ____ = risk for bleeding
platelets < ____ = risk for spontaneous bleeding

A

<50,000 = bleeding
<20,000 = sponatenous bleeding

20
Q

surgical intervention for ATP?

A

splenectomy (no splenectomy for TTP or HIT)

21
Q

post op splenectomy education/ risks

A

Infection prevention
Avoid crowds
When to contact MD for infection