Hematology
A patient is admitted with thrombocytopenia, what should be avoided?
Razors, NSAIDS, and injections.
A patient receiving a blood transfusion starts to develop hives and a fever. What reaction are they having?
Febrile Reaction.
This type of anemia has a irregular crescent shape. What is it?
Sickle Cell Anemia
Who cannot receive blood transfusions?
Jehovahs witness.
What is the normal range for hemoglobin in a female?
12-14 for females
What is Erythropoietin?
Hormone produced by the kidneys that stimulates the bone marrow to produce red blood cells
Patient presents with painless "bumps and lumps" under arms, with enlarged lymph nodes, and constant night sweats. Whats their diagnosis?
Lymphoma.
This type of anemia can result in glossitis, extreme weakness, fatigue, and jaundice.
Pernicious anemia.
A patient receiving a blood transfusion presents with crackles bilaterally with shortness of breath along with jugular vein distention. What should the nurse do first?
SLOW infusion, raise HOB, and provide oxygen.
What is the normal range for Platelets?
150,000-400,000
A patient taking an iron supplement tells the nurse she has been expressing black stools. What is the nurses response?
It is normal.
This type of anemia cannot absorb B12, what is it?
Pernicious Anemia.
A patient with type AB blood needs a transfusion STAT. Who can be a donor?
A patient with a sickle cell crisis comes into the ER. What is the biggest concern with patients with sickle cell?
Pain Management.
Use PCA pump.
This is a deadly complication that manifests as severe bleeding and blood clots.
DIC. Disseminated Intravascular coagulation.
This type of anemia has signs and symptoms of one sided weakness, dactylitis, and in some causes blurred vision.
Sickle Cell Anemia.
What blood type is the universal donor?
Type O
Normal RBC cell range for men and women.
Men: 4.5-6
Women: 4.0-5.0
A patient has a clotting disorder of the clotting factor XII (8). What is the name for their disorder?
Hemophilia A.
This type of anemia blocks the main building block to make RBCs. What is it?
Iron Deficiency anemia.
A patient has an order for type A blood to be administered. What is the time range the blood can be administered before considered bad? How long do you have to run the infusion.
(TWO PART ANSWER)
1. 15 minutes!
2. 4 hours
What is the normal range for WBC?
5,000-11,000