We've got a bleeder
A patient may have an abnormal PT due to deficiency of this vitamin
Vitamin K
A two year old who drinks 52 oz. of milk per day is at risk for this form of anemia
Iron deficiency
Your sickle cell patient has just been admitted, with high WBC count, fever, hypoxia, and is complaining of shortness of breath. What complication of sickle disease do you suspect?
acute chest syndrome
This chemo agent is known to cause peripheral neuropathy, along with constipation.
Vincristine
First line medication to help prevent any nausea and/or vomiting
ondansetron
Hemarthrosis in a young boy is likely associated with a deficiency of one of these two factors
Factor 8 or 9
In iron deficency anemia what would you suspect from the following: Ferritin, TIBC, RDW
Ferritin: low, TIBC: High, RDW: high
A patient with SCD begins to slur their words. What complication are you most concerned they are experiencing?
stroke
Name one of the common causative agents of hemorrhagic cystitis
ifosfamide and cyclophosphamide
Given to prevent Pneumocystis jiroveci Pneumonia
sulfamethoxazole and trimethoprim
This medication may raise the level of an important clotting protein for this most common inherited bleeding disorder
desmopressin for vwd (factor 8, VWF)
In DIC what would you suspect from the following:
platelet count,fibrinogen, D-dimer,
platelet count: low ,fibrinogen: low , D-dimer:high
The metabolic hallmarks of tumor lysis syndrome
hyperkalemia, hyperphosphatemia, hyperuricemia, and hypocalcemia
A patient who recently underwent chemotherapy had follow up labs that showed a creatinine of 311, urea of 21.6. What chemo drug did they receive?
cisplatin
Second line long acting antiemetic for chemotherapy
Aprepitan
A patient has a prolonged PTT and 50/50 mix which doesn't correct. Name the most common cause
post viral!
Other causes: factor 8 inhibitor, heparin, lupus anti-coagulant
A child who was recently ill and treated with antibiotics had repeat blood work ordered. It showed a prolonged PTT, and in a 50/50 mix it normalised. The most common cause for this is?
Vit. K deficiency
A patient with Beckwith-Wiedemann syndrome is most likely to have this type of tumor
Wilms Tumor
In both high doses and repeated escalating doses, it is common for this medication to cause oral mucositis
Methotrexate
What medication is used for methotrexate toxicity
leucovorin
A factor deficiency that is not diagnosed by an abnormal PT/PTT
Factor 13
A patient is admitted with epistaxis and petechial rash. CBC is normal, with the exception of the platelet count, which is 37. What diagnosis would you expect?
ITP
Virus most likely to cause transient aplastic crisis in patients with sickle cell disease
Parvovirus B-19
This oral chemotherapeutic agent used with sickle cell patients, can cause neutropenia and thrombocytopenia
Hydroxyurea
This medication is given with one of the chemotherapy agents to prevent cardiotoxicity
dexrazoxane