2 - Hematopoietic Stressors (part 2) Flashcards Preview

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Flashcards in 2 - Hematopoietic Stressors (part 2) Deck (10):
1

During a blood transfusion, you want blood to be absorbed within ____ hours of leaving blood bank.

During a blood transfusion, you want blood to be absorbed within 4 hours of leaving blood bank.

2

Not enough platelets.

a.) Thrombocytopenia

b.) Primary immune or Autoimmune Thrombocytopenic Purpura (ITP)

c.) Disseminated Intravascular Coagulation (DIC)

d.) Polycythemia

e.) Polycythemia VERA

Thrombocytopenia

  • Not enough platelets
  • Coagulation problems
  • Bleeding

Manual examination of peripheral smear

Nursing goals:

  1. Safety of patient
  2. Shaving, toothbrush, medications

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3

Occurs one to six weeks after a viral illness.  Patients bruise easily, and can be mistaken for abuse.

a.) Thrombocytopenia

b.) Primary immune or Autoimmune Thrombocytopenic Purpura (ITP)

c.) Disseminated Intravascular Coagulation (DIC)

d.) Polycythemia

e.) Polycythemia VERA

Primary immune or

Autoimmune Thrombocytopenic Purpura (ITP)

Assessment findings:

  • Brusing in abnormal areas
  • Can be mistaken for abuse
  • 1-6 weeks post viral illness.
  • Self-limiting

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4

Overproduction of all blood types.  Treatment includes blood removal and bone marrow suppression drugs.

a.) Thrombocytopenia

b.) Primary immune or Autoimmune Thrombocytopenic Purpura (ITP)

c.) Disseminated Intravascular Coagulation (DIC)

d.) Polycythemia

e.) Polycythemia VERA

Polycythemia VERA

Overporoduction of ALL blood types.

opposite of aplastic anemia

Treatment:

  1. Blood removal
  2. Bone marrow suppression drugs

 

5

Too many RBCs.  Causes sluggish flow of blood and tissue hypoxia.  S/S include cyanosis, and a weak or even absent pulse.

a.) Thrombocytopenia

b.) Primary immune or Autoimmune Thrombocytopenic Purpura (ITP)

c.) Disseminated Intravascular Coagulation (DIC)

d.) Polycythemia

e.) Polycythemia VERA

Polycythemia

Too many RBCs

  • Sluggish flow
  • increased clotting (think traffic jam)
  • Tissue hypoxia
  • High altitude
     
  • Cyanotic, weak/thready/absent pulse

6

Manual examination of peripheral smear can help detect this condition.

a.) Thrombocytopenia

b.) Primary immune or Autoimmune Thrombocytopenic Purpura (ITP)

c.) Disseminated Intravascular Coagulation (DIC)

d.) Polycythemia

e.) Polycythemia VERA

Thrombocytopenia

  • Not enough platelets
  • Coagulation problems
  • Bleeding

Manual examination of peripheral smear

Nursing goals:

  1. Safety of patient
  2. Shaving, toothbrush, medications

A image thumb
7

Clotting Tests

 

a.) PT (Prothrombin Time)

b.) INR (International Normalized Ratio)

c.) PTT (Partial Prothromboplastin Time)

8

Abnormal clumps of thickened blood (clots) form inside blood vessels.  These abnormal clots use up the blood's clotting factors, which can lead to massive bleeding in other places.  Causes include inflammation, infection, and cancer.

a.) Thrombocytopenia

b.) Primary immune or Autoimmune Thrombocytopenic Purpura (ITP)

c.) Disseminated Intravascular Coagulation (DIC)

d.) Polycythemia

e.) Polycythemia VERA

Disseminated Intravascular Coagulation (DIC)

Bleeding and clotting occur at the same time.

In disseminated intravascular coagulation, abnormal clumps of thickened blood (clots) form inside blood vessels.

These abnormal clots use up the blood's clotting factors, which can lead to massive bleeding in other places.

Causes include inflammation, infection, and cancer.

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9

Blood Transfusion Reactions

 

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10

Bleeding and clotting occur at the same time.

a.) Thrombocytopenia

b.) Primary immune or Autoimmune Thrombocytopenic Purpura (ITP)

c.) Disseminated Intravascular Coagulation (DIC)

d.) Polycythemia

e.) Polycythemia VERA

Disseminated Intravascular Coagulation (DIC)

Bleeding and clotting occur at the same time.

In disseminated intravascular coagulation, abnormal clumps of thickened blood (clots) form inside blood vessels.

These abnormal clots use up the blood's clotting factors, which can lead to massive bleeding in other places.

Causes include inflammation, infection, and cancer.

A image thumb