Exam (elaborations)
ABC RBS Exam.
- Course
- Institution
Exam of 8 pages for the course ARRT CI Exam Study Guide at ARRT CI Exam Study Guide (ABC RBS Exam.)
[Show more]
Seller
Follow
modockochieng06
Content preview
Hematologic Problems AEIIBone Marrow Transplant - ANS-Bone Marrow Transplant Hematopoietic stem cell
transplantation (HSCT)
Closely matched donor stem cells
Post-op
High risk for infection & bleeding until transfused stem cells grow
Complications
Stem cells fail to engraft
Graft vs. host disease
Phlebitis
Outcomes:
Cope effectively
Experience no complications
Feel comfortable & supported
DIC - ANS-Causes/Risk Factors:
Leukemia, chemo, septic shock, trauma, Acute respiratory distress syndrome (ARDS)
Manifestations:
•Bleeding - ecchymosis, petechiae, and purpura, hematuria, SOB, hemothorax, shock
•Thrombosis - cool and or mottled extremities
Diagnostic/Labs
•PT & aPTT ↑, Platelets ↓, Fibrinogen ↓, D-Dimer ↑, Fibrin degradation product (FDP) ↑,
clotting times prolonged
DIC: Collaborative Management - ANS-Treat the underlying cause
Prevent/manage septic shock - IV fluid boluses for low BP
Support organ function
Early detection of bleeding
Bleeding precautions
Blood products
Packed RBCs
FFP (Fresh Frozen Plasma)
Platelets
Plasma volume expanders
, Disseminated Intravascular Coagulation (DIC) - ANS-Not a disease!!
Serious bleeding and thrombotic disorder
Results from abnormally initiated and accelerated clotting
Decreases in clotting factors and platelets ensue
May lead to uncontrollable hemorrhage
Abnormal response of the clotting cascade stimulated by a disease process or disorder
A systemic activation of the coagulation system simultaneously leads to thrombus
formation and exhaustion of platelets and coagulation factors (results in hemorrhage).
Life threatening - mortality is > 80%
HL & NHL: Assessment - ANS-Enlarged but painless lymph nodes
Usually in neck with HL
Fever*
Weight loss
Fatigue
Infections
Diagnosis
CBC
Lymph node biopsy
Bone marrow aspiration
PET scan CT scan
Hodgkin's Lymphoma - ANS-Most treatable
Bimodal age-specific incidence - 15 to 30 years of age; greater than 55 years of age
Cause unknown
Key factors
Infection with Epstein-Barr virus (EBV)
Genetic predisposition
Exposure to occupational toxins
Reed-Sternberg cell present in lymph node biopsy
Proliferate in the lymph nodes
Long-term survival exceeds 80% for all stages
Immunodeficiency states - HIV/AIDS
Leukemia - ANS-A group of cancers affecting the blood and blood-forming tissues of
bone marrow, lymph system and spleen
Uncontrolled production of WBCs
Usually fatal if untreated
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller modockochieng06. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77254 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now