Sickle Cell Flashcards
1
Q
labs of acute chest syndrome?
A
normocytic normochromic anemia, inc WBC, inc plt, inc retic count, inc indirect bili
2
Q
cause of acute chest sydnrome?
A
underlying infection
3
Q
transfusion goal in acute chest syndrome?
A
dont go above 11, hgb goal <9
4
Q
smear with sickle cell?
A
sickles, target cells, howell jolly(functional asplenia
5
Q
hgb electropharesis with sickle cell trait?
A
HbA>Hbs
6
Q
sx with sickle cell trait?
A
only if significant hypoxia or dehydration
7
Q
beta thalassemia hgb electropharesis?
A
HgbE- F and A2
8
Q
increased LFT, hepatomegaly in SCD concern? tx?
A
hepatic sequestration/red cell exchange
9
Q
hepatic concerns in SCD?
A
budd chiari because hypercoagulable and hepatic sequestration
