Shared Flashcard Set

Details

Hematologic disorders
hematologic disorders
18
Nursing
Professional
04/27/2013

Additional Nursing Flashcards

 


 

Cards

Term

Functions of blood

 

  • transport ___ and ___
  • defense against ______
  • _________
  • assists in removal of ____ ______
Definition
  • transport O2 and CO2
  • defense against infection
  • coagulation
  • assists in removal of waste material
Term

What are the three primary cell types found in blood?

 

what are their functions?

Definition

1. erythrocytes (RBCs) carries hgb to provide O2 to tissues. avg lifespan 120 days

 

2. Leukocytes (WBCs) fights infections

 

3. Thrombocytes (platelets) provides basis for coagulation to occur; maintains hemostasis; avg lifespan 10 days

Term
complex process of the formation and maturation of blood cells
Definition
hematopoiesis
Term

Erythrocytes (RBCs) contain _______ , an iron rich protein that carries ___

 

They live ___ days

 

Anemia can result from a reduction in _____, reduced quantity of _____, or reduced volume of _____ _____ (_____).

Definition

hemoglobin; O2

 

120days

 

RBCs, hemoglobin, packed cells (hematocrit)

Term
Substances released from platelet granules activate coagulation factors in the blood plasma and initiate the formation of a stable clot composed of _____, a filamentous protein.
Definition
fibrin
Term
List three possible causes of Anemia
Definition

1. rapid blood loss

2. decreased prod of RBCs

3. Increased hemolysis (destruction) of RBCs

Term

Anemia

 

Clinical Manifestations

Definition

skin changes: pallor, jaundice, pruritis

tachycardia

tachpnea, exertional dyspnea

chest pain, muscle pain

hypoxia

weakness, fatigue

palpitations

orthopnea

severe: heart failure, paresthesias, and delerium

Term

Anemia

 

Assessments

Definition

health hx & physical exam

nutritional assessment

cardiac status

GI system assess emesis and stools for blood; question women a/b menstrual periods

neurologic examination

monitor relevant lab test results

Term

Anemia

 

Interventions

Definition
  • Manage fatigue: establish balance bet activity and rest
  • Maintain adequate nutrition
  • maintain adequate perfusion: replace lost volume w/transfusions or IV fluids; O2, adjust meds
  • Promote compliance w/prescribed therapy
  • monitor/manage potential complications; fix underlying problem
Term
an increased volume of erythrocytes
Definition
polycythemia
Term
proliferative disorder of the myeloid stem cells
Definition
polycythemia vera
Term

Bone marrow Transplant

 

Client is immunosuppressed for __ days prior.

 

_____ or _____ obliterates or wipes out all bone marrow

 

______ is administered like any blood product

 

_______ period - the new marrow starts to grow indicated by increase in blood count

Definition

5 days

 

Chemo or radiation

 

Marrow

 

Engraftment

Term

Platelets are produced in ____ _____.

 

Production of platelets is controlled by _______.

 

Platelets are stored in the ______.

 

Normal range for platelets is _____-_______.

Definition

bone marrow

 

thrombopoieten

 

spleen (30-40%)

 

250,000-400,000

Term

1. Increase in number of platelets

 

2. Decrease in number of platelets

 

 

Definition

1. Thrombocytosis

 

2. Thrombocytopenia

Term

Thrombocytopenia is characterized by a platelet count of less than ______.

 

What is the most common cause of Thrombocytopenia?

 

What are the two types of Thrombocytopenia?

Definition

<100,000

 

Abdominal bleeding

 

1. Idopathic thrombocytopenia purpura

2. secondary thrombocytopenia

Term

Clotting factor disorders result from ____ ____ deficits.

 

Pt is unable to synthesize ____ ____or there is an insufficient amt.

 

Examples are hemophilia; Von Willebrand's; hypoprothrombinemia

Definition

clotting factor

 

clotting factor

Term

Clotting Factor Disorder

 

________ is necessary in clotting cascade.

 

_______ _ has to be present for the synthesis of it.

 

 

Definition

Prothrombin

 

Vitamin K

Term

What are the assessment findings of hypoprothrombinemia?

 

What are the interventions?

Definition

Assessment: ecchymosis, epistaxis, hematuria, prolonged bleeding venipuncture

 

Intervention: Vit K, Stop ASA or anticoagulant, give Factor VII, IX, or X

Supporting users have an ad free experience!