Hematology
Red blood cell count, White blood cell count, Mean corpuscular volume, Mean corpuscular Hgb, Total iron-binding count, Platelets, Hemoglobin, Hematocrit
What are the lab values run for a CBC?
Standard, Autologous, Intraoperative
What are the types of blood transfusions?
Fatigue, shortness of breath, weakness
Pale skin, dizziness, headaches
Increased risk of infection
Heart failure
What are the clinical manifestations or Anemia?
Kidney, Heart, Lungs, Gastrointestinal tract, and Vasculature
What are the main body systems affected by Lupus?
Change in bowel or bladder habits
Difficulty eating, chewing, swallowing, or decreased appetite
Non-healing sores or wounds
What are a few general findings that might indicate cancer?
Increased volume of RBCs
What is Polycythemia?
Chills, fever, low-back pain, tachycardia, hypotension, chest tightening or pain, tachypnea, nausea, anxiety, hemoglobinuria, and an impending sense of doom
What are the assessment findings of hemolytic transfusion reaction?
Increase erythropoietin production
Iron mobilization from liver storage
Increased cardiac output
What are the pathophysiological response mechanisms to anemia?
Can remain asymptomatic for 10 years or more, antibodies are produced within these 10 years, begins active replication using the host’s genetic machinery
What is the Chronic asymptomatic infection stage of HIV?
Hematopoietic malignancy with unregulated proliferation of leukocytes
What is Leukemia?
Fragile and must be immediately infused.
What are Platelets?
Crackles, dyspnea, cough, anxiety, jugular vein distention, and tachycardia.
What are some manifestations of circulatory overload?
Decreased fatigue, attainment or maintenance of adequate nutrition, maintenance of adequate tissue perfusion, compliance with prescribed therapy.
What are the Plan of Care Goals for a client with Anemia?
The most common inflammatory arthritis and has a prevalence rate of greater than 3%. A systemic disease caused by a disruption in purine metabolism.
What is Gout?
Tissue is sectioned horizontally in layers and each layer is examined for presence of residual cancer; the process is continued until the samples are free of cancer
What is Moh's Surgery?
transfused as soon as it is thawed, while clotting factors are still active
When do you transfuse Fresh Frozen Plasma?
Assess the client
Slow or stop the transfusion
Return the blood to the lab
What to do if you suspect a transfusion reaction?
Acute Pain related to swollen joints, Fever, Fatigue related to anemia, Stroke related to vasoocclusive process, Enlarged Liver.
What are the clinical manifestations of Sickle Cell Anemia?
An autoimmune disorder in which an atypical immune response results in chronic inflammation and destruction of healthy tissue
What is Lupus Erythematosus?
Maintain a hygienic environment, place client in a private room.
Monitor for infection
Administer blood products as needed
What are some nursing actions for pancytopenia?
Assess kidney function, fluid status, and circulation prior to blood product administration.
What are nursing considerations in a an older adult client receiving Packed Red Blood Cells?
Bronchospasm, laryngeal edema, hypotension, and shock.
What are the signs and symptoms of anaphylactic transfusion reaction?
Immunity-mediated clotting disorder that causes unexplained low blood platelet count as a result of treatment
What is heparin induced thrombocytopenia (HIT)?
Assist with and encourage physical activity to maintain joint mobility.
Monitor for indications of fatigue.
Maximize functional activity.
Provide a safe environment.
What are nursing considerations for someone with Rheumatoid Arthritis?
Papillary, Follicular, Medullary, Anaplastic
What are the 4 types of Thyroid Cancer?