Hematologic System Introduction
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Questions and Answers

Patients with low RBC counts may have ______

headaches

Knowing a patient's job and hobbies can alert the nurse to unusual ______

chemical exposures

In addition, medical insurance is often contingent on ______

employment

Platelets activate the blood-clotting system by forming a ______ plug.

<p>platelet</p> Signup and view all the answers

The Hct is ____ times the Hgb value

<p>approximately 3</p> Signup and view all the answers

Each multidonor pack of platelets contains approximately ______ mL

<p>60</p> Signup and view all the answers

There are four main types of transfusion reactions: hemolytic, anaphylactic, febrile, and ______ overload

<p>circulatory</p> Signup and view all the answers

The liver performs many functions for different body systems. As part of the hematologic system, the liver manufactures ______.

<p>clotting factors</p> Signup and view all the answers

The kidneys manufacture hematopoietin, a hormone that is released by the kidneys in response to hypoxia. Hematopoietin stimulates the production of ______ in the bone marrow.

<p>RBCs</p> Signup and view all the answers

Epogen and Aranesp stimulate the bone marrow to produce more ______

<p>RBCs</p> Signup and view all the answers

Neumega stimulates the bone marrow to produce more ______

<p>platelets</p> Signup and view all the answers

The effects of these drugs on the Hct and platelet count are not apparent for several days; therefore they are not an option for patients who need to elevate their ______ counts immediately

<p>blood cell</p> Signup and view all the answers

Erythropoietin and darbepoetin are predominantly used by ______ patients who are chronically anemic as a result of dialysis

<p>hemodialysis</p> Signup and view all the answers

These medications have also been used to prevent the complications and relieve the symptoms of anemia in patients with ______ or HIV infection

<p>cancer</p> Signup and view all the answers

Record the patient's normal bowel function and any recent changes in frequency of bowel movements or consistency of the ________.

<p>stool</p> Signup and view all the answers

The liver performs many functions for different body systems. As part of the hematologic system, the liver manufactures ________.

<p>clotting factors</p> Signup and view all the answers

Platelets activate the blood-clotting system by forming a ______ plug.

<p>platelet</p> Signup and view all the answers

Platelet transfusions are usually not given unless the patient is actively ______

<p>bleeding</p> Signup and view all the answers

Petechiae are small (1 to 3 mm), red or reddish-purple pinpoint spots on the skin resulting from blood capillaries breaking and leaking small amounts of blood into the tissues. Petechiae are often confused with a skin rash. Petechiae almost always signal that the patient has a very low ______ count.

<p>platelet</p> Signup and view all the answers

Study Notes

Hematologic Conditions and Interventions

  • Patients with low RBC counts may experience symptoms such as fatigue, weakness, and pallor.
  • Understanding a patient's job and hobbies can reveal unusual risks for exposure to certain health conditions.
  • Medical insurance usually depends on the patient's job status or employment eligibility.

Platelet Function and Blood Components

  • Platelets initiate the blood-clotting process by forming a temporary hemostatic plug.
  • Hematocrit (Hct) is typically three times the hemoglobin (Hgb) value.
  • A single multidonor pack of platelets generally contains approximately 300 mL.

Transfusion Reactions

  • There are four prominent types of transfusion reactions:
    • Hemolytic
    • Anaphylactic
    • Febrile
    • Transfusion overload

Liver and Kidney Functions in Hematology

  • The liver is crucial for various bodily functions and produces essential substances for the hematologic system.
  • Kidneys secrete hematopoietin in response to low oxygen levels; this hormone stimulates bone marrow to increase blood cell production.
  • Medications like Epogen and Aranesp enhance the bone marrow's ability to generate more red blood cells.

Drug Effects on Blood Cell Counts

  • Neumega prompts the bone marrow to produce more platelets.
  • The impact of erythropoietin and related drugs on hematocrit and platelet counts takes several days, limiting their use in urgent elevation cases.

Patient Conditions and Medication Usage

  • Erythropoietin and darbepoetin are primarily prescribed to dialysis patients facing chronic anemia.
  • These medications may also be administered to alleviate symptoms of anemia in those with cancer or HIV infection.

Monitoring and Symptoms

  • It's essential to track a patient's regular bowel habits and note any changes in frequency or stool consistency.
  • The liver produces several critical components necessary for blood health.
  • Platelet transfusions are generally reserved for patients undergoing active bleeding.

Clinical Signs of Low Platelet Count

  • Petechiae are tiny, red or purplish spots that appear on the skin due to minor bleeding from broken capillaries; they often indicate a dangerously low platelet count and can be mistaken for rashes.

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Henrico County St Marys School of Practical Nursing-Med Surg Chapter 29 Comprehension Questions

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