Hematology and Immunology Neutropenia and Bleeding Disorders Flashcards

1
Q

medications that alter platelets

A

antihypertensives
penicillin
sulfa containing meds
aspirin based
NSAIDs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

neutropenia
- defintion

A

decreased production or increased destruction of neutrophils

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

neutropenia
- risk

A

infection is biggest risk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

neutropenia
- s/s of infection

A

not have the same response to infection
EX: might not always have a temp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

neutropenia
- medical management

A

treatment depends on the cause

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

neutropenia
- precautions

A

reversal isolation
no flowers/fruit
private room
nurse wears mask/gloves
good hand hygiene
avoid crowded areas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

thrombocytopenia
- variety of factors

A

decreased production in the bone marrow
increased destruction
increased consumption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

thrombocytopenia
- clinical manifesations

A

increased risk of bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

thrombocytopenia
- patient safety and education

A

bleeding
no aspirin/antiplatelet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

hemophilia
- what is it

A

inherited bleeding disorder
missing factor 8

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

hemophilia
- clinical manifesations

A

hemorrhages into various parts of the body
- joints
- head

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

hemophilia
- risk

A

bleeding and falls

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

hemophilia
- medical and nursing management

A

recumbent forms of factor 8 when patient actively bleeding or used prophylactically

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

hemophilia
- medications or foods to avoid

A

avoid NSAIDs, general supplements, alcohol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

DIC
- definiton

A

altered hemostasis mechanism causes massive clotting in microcirculation, as clotting factors are consumed, bleeding occurs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

DIC
- symptoms related to

A

tissue ischemia and bleeding

17
Q

DIC
- triggers

A

sepsis
trauma
shock
cancer
abrupto placenta
toxins
allergic reactions

18
Q

DIC
- treatment

A

underlying causes
correct tissue ischemia
replace fluids and electrolytes
maintain blood pressure
replace coagulation factors

19
Q

DIC
- med

A

heparin
- stop bleeding

20
Q

DIC
- how do we replace coagulation factors

A

PRBC
FFP
platelets

21
Q

DIC
- complication

A

organ failures

22
Q

DIC
- platelet count

A

low

23
Q

DIC
- PT

A

high

24
Q

DIC
- aPTT

A

high

25
Q

DIC
- thrombin time

A

high

26
Q

DIC
- fibrinogen

A

low

27
Q

DIC
- d-dimer

A

high

28
Q

DIC
- fibrin degradation products

A

high

29
Q

unfrac heparin
- test

A

aPTT

30
Q

unfrac heparin
- aPTT therapeutic

A

1.5-2.5 times control (~37-87)

31
Q

unfrac heparin
- complication

A

heparin induced thrombocytopenia

32
Q

heparin
- reversal

A

protamine sulfate

33
Q

warfarin
- test

A

INR

34
Q

warfarin
- INR therapeutic

A

2-3

35
Q

warfarin
- reversal

A

vit K

36
Q
A