Hematology 1
Hematology 2
Teach Me!
Luke-emai..I am your Father! ...& Lymphoma
Mis-blood cell-aneous
Immune
Meds
100

RBCs, WBCs, H & H, and a platelet count are all components of what lab test?

What is a complete blood count.

100

What is a reticulocyte?

Mature in _____?

immature RBC

48 hrs

100

Treatment for sickle cell crisis includes


Oxygen for hypoxia, fluid and electrolyte replacement, Pain management, Transfusion therapy, teaching patients' ways to avoid SCC

100

Malignant condition characterized by proliferation of Reed Sternberg cells in lymph nodes, associated with  genetic disposition and exposure to toxins. 


What is Hodgkin Lymphoma?


Which has a higher survival rate? Hodgkin or non-hodgkin?

100

The client receiving blood transfusion suddenly begins to wheeze and complains of dyspnea. What should the nurse do first?

A. Call the PCP

B. Collect all tubing and send it out to the lab

C. Stop the transfusion

D. Document the incident

C. Stop the blood transfusion

100

What is the difference between Passive and active immunity?

passive in temporary, immediate protection

active is long-term, antibodies are developed

Naturally acquired from having disease

artificially acquired from vaccine

100

What medication can be prescribed to a patient with sickle cell to increase HGB F?

hydroxyurea

200

The average red blood cell has a life span of how many days?

What is 120.

200

Lab test for evaluating intrinsic coagulation 

PTT

200

Care for joint bleeding and pain for patients with hemophilia includes


Administering coagulation factor. Immobilize the joint, pack the joint in ice. Give pain medications, AVOID Aspirin. When bleeding has stopped encourage mobilization of the joint

200

Which leukemia has Philadelphia chromosome?

CML

200

1. Treatment for Disseminated intravascular coagulation (DIC)?

2.  DIC is always secondary to which underlying condition?  

 Heparin and (blood products) platelets infusion?

severe infections, solid or hematologic malignancies, trauma, or obstetric calamities?

200

What is the role of the B cells?

B cells produce antibodies

T-cells long term immunity-antigen specific

200

What is the rationale for prescribing prednisone for a patient with chronic immune thrombocytopenia (ITP)?

Steroids inhibit immune response

300

What are the 5 types of WBC?

What is Neutrophils, Eosinophils, Basophils, monocytes, and lymphocytes.

300

What is a "left shift"?

WBC-bands have increased indicating an infection is in progress.

What is a "right shift"?

300

Your patient has had her spleen removed after a motor vehicle accident. Your teaching should include that this could place her at increased risk for____ 

What is infection?

300

Priority nursing intervention post bone marrow aspiration

pain control

300

inherited disorder where abnormal form of HGB causes blood cell to stiffen and elongate


What is sickle cell anemia?

300

Name 4 things that help or strain your immune system

positive attitude - increase lymphocite cells

negative emotions-strain immune system

adequate sleep

diet - protein, Vit A,C,E, Vit B6, Zinc

300

What anticoagulant can be used when a patient has had a history of HITT?

argatroban

400

1. Removal of this organ can put your patient at greater risk for infection.

2. Two functions of RBCs


1. What is the spleen?

2. What is transportation of oxygen & carbon dioxide, and maintaining acid base balance.

400

Swollen cervical lymph node, non-painful

Fever, night sweats, weight loss

Alcohol induces pain in lymph nodes

Hodgkin's disease

400

What are key dietary nutrients to help in RBC production?

Iron, Vit B12, Folic Acid

400

Name 3 risks for a patient diagnosed with leukemia

infection

bleeding

possible anemia

400

Neutropenia plus ___________________ is considered a medical emergency


fever greater than 100F

400

What is the difference between humoral and cell-mediated immunity?

Humoral immunity sends antibodies to fight against antigens vs cell-mediated immunity sends T cells to fight.

Humoral is rapid and quick while cell-mediated can be delayed (primary vs secondary response)

400

What blook products can be used to replace Factors 8 & 9?

FFP

cryoprecipitate

500

1. In this cancer plasma cells (type of white blood cell in the bone marrow) becomes cancerous and multiplies. The disease can damage the bones, immune system, kidneys, and red blood cell count. 

2.  ___proteins are immunoglobulin light chains found in excessive quantities in urine in ________ and are believed to be one of the first tumor markers.

1. What is Multiple Myeloma?


2. Bence Jones proteins are immunoglobulin light chains found in excessive quantities in urine in multiple myeloma and are believed to be one of the first tumor markers 

500

Two classifications of aplastic anemia.

Give an example of each


Acquired: trauma, antibody reactions, infections and toxins 

Congenital: Sickle cell disease

.

500

What can you educate a patient in ways to lower their calcium levels?

Drink 3-4 liters of water to decrease load


Which disease process destroys bone and has Bence Jones proteins found in urine?

multiple myeloma (plasma cell myeloma)

500

Describe the "induction" phase of chemotherapy

What is nadir phase?

Most aggressive stage of chemotherapy

Lowest counts


500

Describe Hematopoietic stem cell transplant (HSCT)


Name highest risk

all cells (leukemia cells and bone marrow eliminated via chemo. New bone marrow cells infused from donor.

Infection

500

What is SLE?

Name at least 2 things triggers that exacerbate symptoms.


Sun exposure, stress

500

Name 2 medications that can push the calcium back into the bone and decrease release of calcium

Calcitonin

Biphosphates

600

1. This component of the hematological system is where non-functioning red blood cells are removed from the blood.

Fill in the blanks:

The most common disease-related reason for a spleen removal is a blood disorder called ___________.  This is an autoimmune condition in which antibodies target blood platelets. Platelets are needed to help blood to clot, so a person with ITP is at risk for bleeding. The spleen is involved in making these antibodies and removing the platelets from the blood. Removing the spleen can be done to help treat the condition.

1. What is Spleen?

2. The most common disease-related reason for a spleen removal is a blood disorder called idiopathic thrombocytopenic purpura (ITP). This is an autoimmune condition in which antibodies target blood platelets. Platelets are needed to help blood to clot, so a person with ITP is at risk for bleeding. The spleen is involved in making these antibodies and removing the platelets from the blood. Removing the spleen can be done to help treat the condition. 

600

Reduction of platelets below 150,000 /ul

Name causes

What is thrombocytopenia?

600

Describe HITT

What lab values would be monitored?

Heparin induced thrombocytopenia

PTT, platlets

600

Name the 4 types of leukemia

Which is most common in children?

What is leukostasis?

AML, ALL, CML, CLL

ALL

WBC >100,000

600

Name the 4 Hemophilia's and missing factors.

A - Factor VIII

B- (Christmas Tree)-Factor IX

C - Factor XI

VonWillebrand's - VWF

600

Name the 5 immunoglobins & specific characteristics

IgG-only to cross placenta and provide newborn with passive acquired immunity

IgA-lines mucus membranes (saliva, tears, breast milk)

IgM - antibodies to ABO blood antigens

IgD-assists differentiation of B lymphocityes

IgE-Causes symptoms of allergic reaction

600

Name 2 immunosuppressants used for SLE.

What are priority pt education facts?



Methotrexate-don't get pregnant

hydroxchloroquine-eye appts

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