Hematology Disorders

Question 1

What are the signs and symptoms of a hemolytic transfusion reaction?

Answer 1

lower back pain
headache
chest pain
tachypnea
tachycardia
dark urine
hypotension

Question 2

Pernicious anemia

Answer 2

B12 deficiency
glossitis (beefy-red smooth tongue)
weight loss
fatigue

Question 3

Polycythemia

Answer 3

plethoric (dark and flushed) skin

Question 4

aplastic anemia

Answer 4

pancytopenia
dyspnea on exertion
petechiae and ecchymosis

Question 5

What components are present in plasma?

Answer 5

clotting factors

Question 6

What lab results should be reviewed after the administration of plasma? RBCs? Platelets?

Answer 6

plasma - PT
RBC - Hct
Platelets - Plt count

Question 7

Disseminated intravascular coagulation

Answer 7

dysfunctional clotting factors that can cause blood obstruction or hemorrhage
S/Sx: prolonged bleeding, petechiae, abdominal distention (d/t internal bleeding)

Question 8

third spacing

Answer 8

vascular dehydration due to cellular injury (usually burns)
- hyperkalemia, hyponatremia, increased H/H.

Question 9

What size IV needle should be used for the administration of packed RBCs?

Answer 9

> 20 gauge.