Chapter 28

Question 1

Albumin maintains the ______ _____ of the blood so that plasma doesn’t leak into the tissues.

Answer 1

Osmotic pressure

Question 2

_____ transport antibodies and protects the body against infection.

Answer 2

Globulins

Question 3

____ is a protein that activates to become fibrin.

Answer 3

Fibrinogen

Question 4

How long is the life span of a RBC?

Answer 4

128 days

Question 5

_____ provide protection by immunity and inflammation properties.

Answer 5

WBC

Question 6

How long is the life span of platelets?

Answer 6

8-10 days

Question 7

What component of blood is important for blood clotting– works mostly by clumping together?

Answer 7

Platelets

Question 8

____ is stored in the liver and released as needed.

Answer 8

Platelets

Question 9

_____ is selective growth of stem cells to properly balance production of cells with destruction and loss.

Answer 9

Erythropoiesis

Question 10

Myeloid cells consist of:
_______ (RBC)
Leukocytes (____)
________

Answer 10

Erythrocytes
WBC
Platelets

Question 11

Lymphocytes are ____ cells.

Answer 11

Lymphoid

Question 12

What are the different types of RBC?

Answer 12

Hemoglobin & reticulocytes

Question 13

Lymphocytes can be __ cells or __ cells.

Answer 13

T or B

Question 14

What are the 3 different types of globulins?

Answer 14

Alpha
Beta
Gamma

Question 15

Where does the most macrophage activity occur?

Answer 15

Spleen

Question 16

Kupuffer cells are made where?

Answer 16

Liver

Question 17

The ____ plays an important role in immunologic function.

Answer 17

spleen

Question 18

What are the 4 components of normal hemostasis?
- _____ response
- platelet ____ formation
- development of ____ clot on platelet plug by plasma clotting factors
- _____ of clot

Answer 18

Vascular
plug
fibrin
lysis

Question 19

____ _____ ____ are always present in circulation in inactive forms until stimulated to initiate clotting through one of two pathways.

Answer 19

Plasma clotting factors

Question 20

____ is the most powerful enzyme in the coagulation process because it converts ____ to fibrin.

Answer 20

Thrombin
fibrinogen

Question 21

What helps keep blood fluid?

Answer 21

Anticoagulation

Question 22

Anticoagulation occurs by two means:
_____: interfere with thrombin
_____: process that results in dissolution of the fibrin clot

Answer 22

Antithrombins
Fibrinolysis

Question 23

What are some S/S of a hematologic condition?

Answer 23

extreme fatigue, delayed clotting, easy bruising, abnormal bleeding, joint pain

Question 24

What are the most common hematologic studies?

Answer 24

CBC, PT, aPTT

Question 25

What procedure consists of removing circulating stem cells?

Answer 25

Stem cell harvest

Question 26

What are the different types of blood donation?

Answer 26

Directed Standard Autologous Intraoperative blood salvage Hemodilution

Question 27

If there is a D (Rh) antigen present in the blood it is ____?

Answer 27

Postive

Question 28

If there is NO sign of the D (Rh) antigen in blood it is known as ___?

Answer 28

negative

Question 29

What diseases are potentially transmitted by blood transfusion?

Answer 29

Hepatitis (B or C) HIV/AIDS CMV**ensure immunocompromised pt gets CMV products GVHD Creutzfeldt-Jacob disease

Question 30

What is the nursing management for a patient having a transfusion reaction?

Answer 30

STOP blood, assess pt, notify MD, return blood to BB, obtain labs as needed, document

Question 31

What are some alternative treatments to use in place of a transfusion?

Answer 31

-growth factors -erythropoietin -granulocyte colony-stimulating factors (CSF) -granulocyte-macrophage CSF -thrombopoietin

Question 32

What are some transfusion complications? - ____ contamination - febrile _____ reaction - acute _____ reaction - transfusion- associated ____ overload - transfusion-related acute ____ injury - delayed ___ reaction -_____ reaction

Answer 32

bacterial non hemolytic hemolytic circulatory lung hemolytic allergic