Chapter033 - Chapter33 AssessmentandManagementof

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Chapter 33 Assessment and Management of  Patients With Hematologic Disorders 
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Question Is the following statement True or False? Hematopoiesis is the complex process of the formation and  maturation of blood cells.
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Answer True Hematopoiesis is the complex process of the formation and  maturation of blood cells.
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Hematologic System The blood and the blood forming sites, including the bone marrow  and the reticuloendothelial system Blood  Plasma Blood cells Hematopoiesis
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Blood Cells  Erythrocyte—RBC Leukocyte—WBC Neutrophil Monocyte Eosinophil Basophil Lymphocyte—T lymphocyte and B lymphocyte Thrombocyte—platelet 
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Hematopoiesis
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Hemostasis Refer to fig. 33-3
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Question What type of anemia results from red blood cell destruction? A. Bleeding B. Hemolytic C. Hypoproliferative D. None of the above
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Answer B Bleeding results from red blood loss. Hemolytic anemia results from  red blood cell destruction. Hypoproliferative anemia results from  defective red blood cell production.
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Anemias Lower than normal hemoglobin and fewer than normal circulating  erythrocytes. A sign of an underlying disorder Hypoproliferative: defect in production of RBCs Due to iron, vitamin B 12,  or folate deficiency, decreased  erythropoietin production, cancer Hemolytic: excess destruction of RBCs Due to altered erythropoiesis, or other causes such as  hypersplenism, drug-induced or autoimmune processes,  mechanical heart valves May also be due to blood loss
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Manifestations Depend upon the rapidity of the development of the anemia,  duration of the anemia, metabolic requirements of the patient,  concurrent problems, and concomitant features Fatigue, weakness, malaise Pallor or jaundice  Cardiac and respiratory symptoms Tongue changes Nail changes  Angular cheilosis  Pica
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Medical Management Correct or control the cause Transfusion of packed RBCs
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This note was uploaded on 12/11/2011 for the course NA 123 taught by Professor Na during the Spring '10 term at Abraham Baldwin Agricultural College.

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Chapter033 - Chapter33 AssessmentandManagementof

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