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Nursing - Hematology
Hematology
47
Medical
Undergraduate 2
06/17/2008

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Cards

Term
Acute Blood Loss
Definition

weakness

cool moist skin

tachycardia

hypotension

hypovolumia

 

1000ml or more of blood loss

Term
can tolerate hemoglobin of < 8.0
Definition
Patients with chronic kidney failure can tolerate what level of Hemoglobin
Term
s/s when Platelets < 20,000/mm3
Definition

bleeding

brusing (echymosis)

petechiae (small red dots)

 

other bleeding problems:

(hematuria)

(GI Bleeds) 

Term
Prognosis for an Aplastic Anemia patient depends on:
Definition
  1. Severity of the Anemia
  2. method of treatment
  3. general supportive care
Term
Thrombocytopenia
Definition

A decrease or reduction in the number of platelets

 

at least <100,000 or less 

Term
Post Procedure care for Bone Marrow Aspiration
Definition

Lye patient on procedure side for at least 10-15 minutes

 

At least 15 minutes for thrombocytopenia patients 

Term
This test is used to screen for Vitamin K defficiency
Definition
Prothrombin Time (PT)
Term
Fibrin Split Products
Definition
a clot breaks down into this and interferes with normal clotting
Term
Protamine Sulfate Test
Definition

Test for DIC (Disseminated Intravascular Coagulation)

Term
Protamine Sulfate Test
Definition
Used to measure rejection in organ transplants
Term
Assessment findings of a hematological disorder:
Definition
  1. Shortness of breath
  2. fatigue
  3. bruising
  4. bleeding
  5. **Tarry Stools**
  6. Constipation
Term
Petechia & ecchymoses (bruising)
Definition

Most common Thrombocytopenia s/s:

Term
Jaundice
Definition
Seen with pernicious Anemia or liver disease
Term

anemia & thrombocytopeni

Definition
Retinal Hemorrhage is seen in:
Term
Pernicious Anmeia
Definition
Smooth, red, beefy tounge is seen with:
Term
Pernicious Anemia
Definition
A type of Megaloblastic Anemia due to Vitamin B12 defeciency caused by malabsorbtion
Term
Lymphangiography
Definition
used to visualize the lymphatic system flow and nodes to detect disease
Term
Lymphangiography
Definition
  1. Small incision between toes or fingers 
  2. Iodine based dye injected and image taken then and 24-48 hours later
  3. Visualizes the lymphatic system flow and nodes to detect disease
Term

blue discoloration of the skin, stool, and urine

 

elevate affected limb for 24 hours post procedure

 

stays in system for 6 months

 

up to 3 hour procedure

 

Definition
Lymphangiography side effects and post care:
Term
Bone Marrow Examination
Definition

used to evaluate patients with:

 

anemia

neutropenia

leukemia

thrombocytopenia 

Term
Anemia
Definition
blood cannot carry sufficient amounts of oxygen
Term
Neutropenia
Definition
a decreased # of WBC's
Term
Leukemia
Definition

causes descruction of leukocytes

development of immature RBC's

leads to thrombocytopenia & anemia 

Term
Bone marrow transplant rejection s/s
Definition
  1. Rash on hands & feet
  2. abdominal pain w/ Nausea
  3. mild to severre diarrhea (bloody diarrhea)
  4. Jaundice (due to liver damage)
  5. Fungal & Bacterial Infections

**Sometimes Antibiotics won't work because immune system is weakend so much already... due to supression drugs like corticosteroids
Term

How to prevent infections?

 

(nuetropenia or bone marrow transplnt patients) 

Definition
  1. Rest
  2. Stay away from sources of infection:
    1. Fresh fruit/vegies
    2. large crowds
    3. infected or sick people
    4. fresh flowers
  3. Good handwashing

 

Term
WBC's
Definition
Nuetrophils are immature forms of what?
Term
Chronic Anemia
Definition

loss of RBC's due to Kindney failure

GI Bleed

"internal problems" 

Term

low WBC's

thrombocytopenia

low RBC's 

Definition
characteristics of Aplastic Anemia
Term

Sulfonamides

Anticonvulsants

insecticide use

hepatitis

CMV

Epstien-Barr Virus 

Definition
what is thought to cause Aplastic Anemia
Term
Hemolytic Anemia
Definition
Premature destruction of RBC's at a rate the bone marrow cannot compensate for
Term
Aplastic Anemia
Definition

sickle cell disease

dialysis

heart valve replacement

 

these can cause what? 

Term

penicillian

 

quinine

 

quinidine

 

methyldopa 

Definition
Drugs that induce:

"Cold reacting Autoimmune Hemolytic Anemia"
Term
Warm reacting Autoimmune Hemolytic Anemia
Definition

women with rheumatoid arthritis

leukemia

myeloma (skin cancer) 

Term
Cold reacting Autoimmune Hemolytic Anemia
Definition

older women

Renaud's Phenomenon (cold white fingers)

 

Mono, Epstien-Barr, mumps

 

can be drug induced 

Term
Iron Defeciency Anemia
Definition
brittle nails with ridges is a s/s of what?
Term
Iron Defeciency Anemia
Definition

Smooth, shinny, bright red tounge

 

Cracked, reddened painful corners of the mouth

 

are s/s of what? 

Term
Vitamin B12 or Folic Acid deficiency
Definition

causes of Megaloblastic Anemia 

Term
Megaloblastic Anemia
Definition

What is common in:

 

Vegetarians

Pt's receiving chemothrarpy  & anticonvulsants

Term

loss of balance

mental status change

impaired memory

peripheral neuropathy 

Definition
What are s/s of a Vitamin B12 deficiency?
Term

Hemophilia

 

(like thrombocytopenia) 

Definition
a hereditary coagulation disorder
Term

Drugs

 

Antibioitic Use

 

Inestional Disease 

Definition
what can cause a Vitamin K deficiency?
Term
Polycythemia Vera
Definition

Bone Marrow Disorder

(so RBC's and platelets are out of wack)

 

s/s of decreased RBC's and Platelets 

Term
Polycythemia Vera
Definition

Headache

Vertigo

 

Throbi and emboli may develop

** skin takes on  a red color **

Term

DVT

Spleenomegaly

RBC/plasma volume increase

 

Hct is > 53%

PaO2 80-100

 

**may develop Luekemia** 

Definition
Assessment findings with Polycythemia Vera
Term

Decrease red cell mass

 

s/s of MI, Stroke or DVT (clot issues)

 

**INCREASE FLUID INTAKE** 

Definition
What is the goal (teaching) for Polycythemia Vera?
Term

DIC

 

Dissiminated Intravascular Coagulation 

Definition

clotting and bleeding at same times

 

Starts as clotting then bleeds

 

Bleeds into tissues

petechia

GI Bleeding

Hypoxia

Hypotension

Acidosis and fever 

Term
Neutropenia
Definition
neutrophil count <2000/mm3
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