hemotological Flashcards

(43 cards)

1
Q

What are anemia disorders?

A

conditions that result in lowered oxygen carrying capacity of the blood

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2
Q

what are the 2 main dysfunctions of anemia?

A

RBC dysfunction
HBG dysfunction

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3
Q

what are 2 main compensatory changes in patients with anemia?

A

ventricular hypertrophy
increased erythropoiesis - bone pain

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4
Q

true or false: anemias are a red flag in males as they are much less common

A

true

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5
Q

2 main blood loss anemias

A

rapid bloodless
insidious bloodloss

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6
Q

what is a hemolytic anemia

A

anemia thar is a result of RBC destruction

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7
Q

causes of hemolytic anemia

A

transfusion reactions
mechanical injury
toxins
inherited disorders (sickle cell)

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8
Q

signs of hemolysis

A

jaundice - increased RBC products: bilirubin, acute kidney failure due to HBG accumulation

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9
Q

what is sickle cell anemia?

A

hemolytic anemia that is inherited

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10
Q

What happens to the RBC in sickle cell?

A

becomes misshapen - HBG S

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11
Q

3 main conditions sickle cell leads to:

A

anemia
pain
organ failure

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12
Q

What is the basic patho of sickle cell?

A

HbS sickles when deoxygenated/low oxygen
sickle HbS aggregates with RBC cytoplasm, becoming semi-solid and deforming RBC

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13
Q

true or false: reoxygenating may allow sickle RBC to return to normal?

A

true

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14
Q

sickle cell becomes trapped in spleen leading to ______________

A

microphage phagotization

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15
Q

what are the 3 main reasons sickled cells are more prone to occluding vessels?

A

more adherent to vascular endothelial
can trigger coagulation
release of nitric oxide (vasodilator) from sickled cell is impaired

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16
Q

what are some main triggers for sickling and vessel occlusion?

A

cold stress
physical exertion
infection/illnesses
hypoxia
dehydration
acidosis

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17
Q

true or false: sickle cell anemia can lead or organ failure

A

true

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18
Q

What can organ failure (atrophic) in spleen lead to:

A

immunocompromise

19
Q

what is the leading cause of death in patients with sickle cell anemia?

A

acute chest crisis

20
Q

what is acute chest crisis?

A

atypical pneumonia resulting from pulmonary infarction

21
Q

what type of anemia are Thalassemias

22
Q

true or false: iron-deficient anemia is the most common cause of anemia

23
Q

what are megaloblastic anemias?

A

anemia resulting from impaired DNA synthesis leading to enlarged RBCs with poor maturation and division

24
Q

2 main common causes of megaloblastic anemias

A

B12 deficiency
folic acid deficiency

25
what is pernicious anemia?
a megaloblastic anemia due to atrophic gastritis
26
what is aplastic anemia
disorder of pluripotent bone marrow stem cells
27
what is the result of aplastic anemia
low RBC LOW WBC low platelets
28
true or false": in aplastic anemia, immunoconpromise can occur due to neutropenia
true
29
what is thrombocytopenia
deficiency in platelets in blood
30
what are coagulation disorders due to? 2 main things
defects or deficiencies of clotting factors may be inherited or due to over-consumption/poor production
31
3 main inherited clotting disorders
von willdebrand disease hemophilia A hemophilia B
32
what are the 2 main types of lymphomas
non-hodgkin lymphoma hodgkin lymphoma
33
main difference between non-hodgkin and hodgkin
non: may involve b or t cells; represents variety of neoplasm hodgkin: presence of Reed-sternberg cell- a large, atypical multinuclear tumor cell
34
what blood type is classified as universal donor?
Type O
35
What blood type is classified as the universal recipient?
AB
36
define hematocrit
measurement OF RBC percentage in total blood volume
37
what are the 3 components of totle blood volume when drawn into vial?
plasma, Buffy coat, red blood cells
38
which organ is responsible for producing clotting factors in the blood?
liver
39
RBCs are derived from ______ _______ within the _______. ________. RBC production is stimulated by _______, a protein secreted by the _______
stem cells bone marrow erythropoietin kidneys
40
3 main organs of hematologic system
bone narrow, lover, spleen
41
true or false: bone marrow is the primary site for cell production in the body
true
42
what is the spleen role as it relates to cells?
filters and breaksdown RBCs assists with production of lymphocytes stores 1/3 of body's platelets
43
what part of the body produces leukocytes, erythrocyte and thrombocytes?
bone marrow