Anemia
This type of anemia produces very large, oval shaped RBCs.
Vitamin B12 Deficiency Anemia
This disorder has a lack of clotting factor VII.
Von Willebrand's Disease
This reaction is the most common and results in a mild increase in temperature.
Febrile Reaction
What laboratory finding would we see for a patient with sickle cell anemia?
Abnormal Hgb (hemoglobin) on RBC - very sensitive to oxygen
This type of anemia presents itself with weakness, paresthesia, ataxia, anorexia, N/V, abdominal pain and a sore tongue
Pernicious Anemia
HUGE BRUISES!
This reaction can be continued with but antihistamines will be used to diminish reaction
Allergic Reaction
Name the top 4 priority nursing interventions. In order!
HOP to It
H - hydration => increase fluids in the vascular space
O - oxygen => push o2 onto RBC once hydrated
P - pain => get routine pain meds on board
I - infection => prevent infection
This type of anemia presents itself with negates having jaundice and the need for phototherapy. Mother requires a shot during pregnancy.
Erythroblastosis Fetalis
This type of hemophilia account for 80% of all cases?
Hemophilia A (Classic)
Usually occurs within 14 days of the transfusion. Signs and symptoms include fever, anemia, and possible jaundice. Recognition can be difficult
Delayed Hemolytic Reaction
What is a hyperhemolytic crisis?
RAPID death of RBC => increase in bilirubin and causes jaundice
Defined as <100,000 platelets, this bleeding disorder can be seen with significant and frequent nose bleeds, amongst other symptoms.
Thrombocytopenia
Name the treatment for Von Willebrand's Disease?
Desmopressin (DDAVP) => increases clotting factor but does not last
Most dangerous and potentially life- threatening type of transfusion reaction. Symptoms include fever, chills, lower back pain, anxiety and dyspnea.
Hemolytic (Acute) Reaction
What are three causes of a sickle cell crisis?
there are 7 mentioned in notes
Significant blood loss
High altitude
Illness
Elevated temp
Being cold
Ongoing stress
Dehydrated
This disorder shows normal bone marrow but is a more severe bleeding disorder. Immunosuppressants and treating the underlying cause are a few of the treatment options.
Autoimmune Thrombocytopenic Purpura
What are the 5 priority teachings for a patient with a clotting factor disorder?
R- Razors NO...only electric
A- Avoid Aspirin
N- Needles need to be small gauge
D- Decrease needle sticks
I- Injury (protect from)
Potentially fatal reaction. Usually occurs 6 hours after a blood transfusion. Onset is abrupt, and signs include shortness of breath, hypoxemia, pulmonary edema,
Transfusion-related Acute Lung Injury (TRALI)
When RBCs stick together in the vessel this leads to decreased flow and potential complications such as; stroke, infarction, and kidney injury. This is know as what?
Vaso-Occlusive crisis