Thromobocytopenia

Question 1

What is thrombocytopenia?

Answer 1

Reduction of platelets to less than 150,000 ul

Question 2

Acute, severe or prolonged decreases of platelet destruction from normal can result in?

Answer 2

Abnormal hemostasis that presents as prolonged bleeding from minor trauma or spontaneous bleeding without injury

Question 3

Platelet disorders occur from (3)

Answer 3

Impaired production
Increase destruction
Abnormal distribution

Question 4

Platelet disorders can be inherited, most are?
Example?

Answer 4

Acquired
Like drugs

Question 5

Drugs related thrombocytopenia is?
Caused by?
How does it work?

Answer 5

Accelerated platelet destruction
Caused by antibodies
Antibodies Attacking the platelets when the drugs binds to platelets

Question 6

Many patients with thrombocytopenia are?

Answer 6

Asymptomatic

Question 7

What is the most common symptom?Examples?

Answer 7

Bleeding
Mucosal or cutaneous

Question 8

Mucosal bleeding may manifest as? (2)

Answer 8

Nosebleeds
Gingival bleeding

Question 9

What is bleeding into the skin called?

Answer 9

Petechiae

Question 10

Petechiae is?

Answer 10

Small flat, red or reddish brown microhemorrhages

Question 11

When there are many Petechiae we call the resulting reddish skin what?

Answer 11

Purpura

Question 12

What is the major complication?

Answer 12

Bleeding

Question 13

Bleeding may be what?

Answer 13

Insidious, acute and internal or external

Question 14

Where would the bleeding occur? (4)

Answer 14

Body, joints, retina and Brain

Question 15

Prolonged bleeding from trauma or injury does not occur until platelet counts are under?

Answer 15

50,000

Question 16

When the count is under 20,000 what can occur?

Answer 16

Life threatening bleeding

Question 17

Insidious bleeding may be ___ detected by discovering the anemia from the blood loss.

Answer 17

First

Question 18

Be aware of manifestations such as? (6)

Answer 18

Weakness
Fainting
Dizziness
Tachycardia
Abnormal pain
Hypotension

Question 19

Prolonged bleeding after routine like?

Answer 19

IM injection
Vein puncture

Question 20

What are some diagnostic studies we can do for thrombocytopenia? (3)

Answer 20

History
Lab tests
Bone marrow examination

Question 21

What should you do as a nurse for Interprofessional care? (2)

Answer 21

Removal or treatment of underlying cause
Avoid aspirin( medication affect platelet function/ production )

Question 22

We as nurses are going to tell our patient to discourage what? (2)

Answer 22

Over the counter medications; like aspirin to avoid bleeding

And seek care if manifestations occur

Question 23

Acute care is to prevent?

Answer 23

Bleeding and control it

Question 24

We want to tell our patientwhat for acute care? (5)
Like let’s avoid these things 2 things
And we may need to do these 3 things

Answer 24

Stress
Avoid injections
Educate patient
Suppressing menses with hormonal agents may be needed
Platelet transfusions

Question 25

Ambulatory care What should we tell them ( outside patient ) (4)

Answer 25

Avoid causative agents ( chemotherapy ) Avoid injury / trauma Encourage planned medical evaluation Education of quality of life

Question 26

What would be the evaluation, outcomes?

Answer 26

No bleeding Educated patient