part 7

Question 1

problems of hemostasis

Answer 1

thrombocytopenia: immune Thrombocytopenia purpura (ITP), heparin-induced thrombocytopenia (HIT), heparin induced thrombocytopenia and thrombosis syndrome (HITTS)

Question 2

What are the S/S of thrombocytopenia?

Answer 2

• platelets <150,000
• bleeding
• weak, dizzy, abd pain, hypotension
• subtle confusion, HA = cerebral hemorrhage

Question 3

What are the S/S of thrombocytopenia associated with cerebral hemorrhage?

Answer 3

subtle confusion

HA

Question 4

-bleeding: petechiae, purpura, eccymosis

Answer 4

HIT

Question 5

What is a common cause of neutropenia? What s/s of infection should we watch for with this pt?

Answer 5

• chemo and immunosuppressive therapy

- watch for fever greater than 100.4

Question 6

Group of related disorders resulting from ineffective blood cell production

Answer 6

myelodysplastic syndrome

-possible causes are chemo, radiation, and industrial solvents

Question 7

Blood Products:

• how much is one unit?
• how long can you store?
• what are the indications?

Answer 7

• 250-350 mL
• stored up to 35 days
• indications = symptomatic anemia and acute blood loss

Question 8

platelets indications for use?

Answer 8

bleeding from thrombocytopenia

Question 9

liquid portion of whole blood

-separated from cells and frozen

Answer 9

FFP

Question 10

What are the indications for use of FFP?

Answer 10

bleeding caused by deficiency in clotting factors

-DIC, hemorrhage, massive transfusion, liver disease, vit K deficiency, excessive warfarin

Question 11

-prepared from plasma

Answer 11

albumin

Question 12

What are the indications for use of albumin?

Answer 12

hypovolemic shock

hypoalbuminemia

Question 13

What are cryoprecipitate and commercial products and indications?

Answer 13

• prepared from fresh frozen plasma

- replacement of clotting factors: factor VIII, von Willebrand, and fibrinogen