Blood Transfusions
the blood product generally given for anemia
What is PRBC's
The normal range for sodium
What is 135-145
what is low RBC's/hgb defined as
Your patient's Neutrophils are 0.1, what is this called?
What is Neutropenia
The bloodwork checked before giving enoxaparin?
What is platelets
The length of time platelets are given over
30 minutes
Normal level of potassium and symptoms associated with high / low levels
K 3.5-5.1 hypo: heart palpitations, fatigue, muscle weakness, numbness/tingling
Hyper: chest pain, heart palpitations, arrhythmia, muscle weakness /numbness.
the normal range of WBC's and platelets
What is WBC's 3.5-10.5 and Platelets 130-380
The abnormal lab value in a CBC that can indicate infection and would it be elevated or decreased
What is WBC and elevated
If there are no order parameters what platelet level do we verify with the physician if it is okay to give a blood thinner to?
What is <50 (and any signs of bleeding or rapid decrease in platelet count)
WBC: 0.5
RBC 3.2
Hgb 91
Hct 80
Plt 8
What is platelets
the normal level of calcium and magnesium
Ca 2.24-2.58 Mg 0.66-1.07
name 2 vitamin deficiencies that can cause anemia
What is folic acid (b-9), vitamin B 12
Your patient's WBC is 0.5 what is this called? bonus 50 points if you know the minimum value needed to be classified as this.
What is Leukopenia and <1
the lab value monitored when administering a heparin drip
What is aPPT
What is platelets, PRBCs, FFP
The abnormal labs associated with TLS
What is hyperuricemia, hyperkalemia, hypocalcemia & hyperphosphatemia
What pancytopenia is defined as
What is a decrease RBC's/hgb, WBC's and platelets
outside of a CBC, what lab value may be checked to see if there is an infection? bonus 100 points if you answer if this is elevated, what can this indicate?
what is Lactate and what is sepsis
the lab value monitored when giving warfarin (bonus 100 points if you know the goal range for this lab value)
what is INR and 2-3.5
Your patient is receiving a blood transfusion and reports new onset itchiness and you notice they are covered in hives. What are your next steps?
1. Stop the transfusion
2. flush the line
3. do a set of vitals
4. assess patient for other symptoms (SOB, pain, dizziness etc) and ensure they are safe
5. Notify the physician
6. Prepare for any interventions (anti-histamines / discontinuing transfusion, O2 etc.)
What is 0.78-1.38 hypo: weakness, muscle pain, altered mental status hyper: muscle cramps, tingling in lips, tongue, fingers / toes, arrhythmia, memory problems, dry skin
What does hematocrit indicate?
The percentage of red bloods cells in your blood
what elevated blood value is known for being an inflammatory marker?
CRP (c-reactive peptide)
name 2 side effects high dose steroids can have that you may see reflected in bloodwork
hyperglycaemia, immunosuppression, hypercholesterolemia, growth hormone antagonist in children