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

Flashcards

What is a hemostatic plug?

A temporary plug formed by platelets to stop bleeding.

What is hematocrit (Hct)?

The percentage of red blood cells in the blood.

What is the typical ratio of hematocrit (Hct) to hemoglobin (Hgb)?

The ratio of hematocrit (Hct) to hemoglobin (Hgb) is typically 3:1.

What is a febrile transfusion reaction?

A type of transfusion reaction characterized by fever, chills, and headache.

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What is a hemolytic transfusion reaction?

A life-threatening transfusion reaction that damages red blood cells.

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What is an anaphylactic transfusion reaction?

A severe transfusion reaction that involves an allergic response to blood products.

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What is a transfusion overload reaction?

A blood transfusion reaction caused by excessive fluid volume in the bloodstream.

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What is the role of the liver in the hematologic system?

The liver is responsible for producing important substances for blood health, including clotting factors and proteins.

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What is the role of the kidneys in hematologic system?

The kidneys secrete a hormone that stimulates bone marrow to produce more blood cells.

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What are the effects of Epogen and Aranesp on red blood cell production?

Drugs like Epogen and Aranesp stimulate the bone marrow to produce more red blood cells.

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What is the effect of Neumega on platelet production?

Neumega helps the bone marrow produce more platelets.

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How quickly do erythropoietin and darbepoetin affect hematocrit and platelet counts?

The effects of drugs like erythropoietin and darbepoetin on hematocrit and platelet counts take several days to show up, so they're not suitable for emergency situations.

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Who are the primary recipients of Erythropoietin and darbepoetin?

Erythropoietin and darbepoetin are commonly prescribed for dialysis patients who experience chronic anemia.

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Who else might benefit from erythropoietin or darbepoetin treatment?

These medications can also be used to treat anemia in patients battling cancer or HIV.

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Why is monitoring bowel habits important in hematologic care?

It's crucial to track changes in a patient's bowel movements to detect possible issues.

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Why are platelet transfusions often necessary?

Platelet transfusions are generally reserved for patients who are actively bleeding.

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What are petechiae, and what do they indicate?

These small, red or purple spots on the skin occur due to tiny amounts of bleeding from capillaries and are often a sign of low platelet count.

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Why is it important to differentiate petechiae from rashes?

Petechiae can be mistaken for a rash, so it's essential to pay close attention to the cause.

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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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