Lymph test

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Lymph test
2012-03-22 12:09:38

lymph test
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  1. What does not effect the number of platelets being produced?
  2. What goes to an injured site first?
  3. What is the range of platelets in the body when you have a pt with spontaneous bleeding form everywhere?
    40,000 and lower
  4. What medication can cause platelets to not stick together?
    • ASA
    • Plavix
  5. What is the liquid form of blood?
  6. What is referd to the "clear river"?
  7. What is plasma comprised of:
    • 90% H2O
    • 10% Protein
  8. What is the protien in plasma?
  9. Where is albumin formed?
    The Liver
  10. How is globulin divided up?
    • Alpha
    • Beta
    • Gamma, most common, are immunoglobulins or antibodies
  11. What does not usually pass through capillaries?
    Plasma protein; Albumin
  12. What maintains osmotic pressure to retain in the vascular system?
  13. If Albumin is high where can you see signs of this?
    • Lower leg Edema
    • Ankles
    • Legs
  14. What % of the population has type A blood?
  15. What % of the population has type B blood?
  16. What % of the population has type AB blood?
  17. What % of the population has type O blood?
  18. How is blood determined?
  19. What does each blood group have on the red cell membrane?
    A protein
  20. Group A has what antigen
    A antigen
  21. Group B has what antigen?
    B antigen
  22. Group AB has what antigen?
    has both A & B antigen
  23. Group O has what antigen?
    no antigen
  24. What type of blood is the universal recipient?
  25. What blood type is the universal donor?
  26. What does each person have that reacts to these antibodies?
    the plasma has the antibodies
  27. Where is the Rh factor located?
    Rh antibodies maybe located on the surface of the RBC
  28. What does Rh postive mean?
    antibodies are persent
  29. What does Rh negative mean?
    antibodies are not present
  30. What are the characteristics of blood?
    • Consistency
    • pH
    • Volume
  31. What is the consistency of blood?
    • 45% blood cells
    • 55% blood plasma
  32. What is the pH of blood?
  33. What is the total volume of blood in the body?
    10-12 pints
  34. What is hemostasis?
    A body process that arrest the flow of the blood and prevents hemorrhage.
  35. How many mechinisimsare needed to form a clot?
    13 are needed and has to be in the correct amount.
  36. What steps are involved in an injury?
    • injury
    • hemorrhage
    • grouping platelets
    • thromboplastin released
    • converts prothrombin to thrombin
    • links with fibrin
    • trap RBCs and Platelets
    • forms clot
  37. A low ____ can make a body bleed longer.
  38. What is the function of the lymphatic system?
    • Maintenance of the fluid balance
    • production of lymphocytes
    • absorption and transportation of lipids from the inestine to the bloodstream
  39. what is the lymphatic system comprised of?
    • Lymph
    • Lymph vessels
    • Lymphatic tissues
  40. What is lymph and lymph vessels?
    Lymph is a specialized fluid formed in the tissues spaces transported by way of the lymphatic vessels and reenters the circulatory system
  41. What do lymph nodes do?
    acts as filter, keeping particulate matter such as bacteria from entering the bloodstream.
  42. Where are lymph nodes located?
    next to major blood vessels. can't be felt because they are deep in the skin
  43. What helps people from becoming septic
    lymph nodes
  44. What are the parts of lymphatic tissue?
    • Lymph nodes
    • Tonsils
    • Spleen
    • Thymus
  45. What do tonsils do?
    produce lymphocytes and antibodies; trap bacteria
  46. What does the spleen do?
    Reservoir for blood; forms lymphocytes, monocytes, and plasma; destroys worn-out RBCs; removes bacterica by phagocytosis
  47. What has an extra pint of blood and platelets?
    the spleen
  48. What is the thymus?
    immune system before and a few months after birth; atrophies at puberty.
  49. Can you live without your slpeen?
  50. What is a CBC?
    Complete Blood Count; RBC, H+H, WBC, Plateletes
  51. What is red cell indices?
    • MCV
    • MCH
    • MCHC; increased production of RBC immature cells so they do not carry O2
  52. What does a periphearl smear do?
    helps tell which kind of anemia the pt has
  53. What does a schilling test DX?
    • DX pernishishes anemia.
    • 2 shots IM B12 - 24 hr urine- lab test for vit B12- if greater than 40% B12 not absorb.
    • Meaning no intressic factor in the stomach
  54. waht is megaloblastic anemia profile?
    Blood drawl for pernishis anemia
  55. What is Lymphangiography test?
    A scan with injected dye goes to lymph system shows abnormalities of lymph- when pt back increase fluids
  56. What is a bone marrow aspiration or biopsy done for?
    DX anemia lukemia neutropenea thromocytopena- bedside test - timed pulls from posterior iliac crest/sternum. takes sliver on slide
  57. What is anemia?
    disorder characterized by RBC and hemoglobin and hematocrit levels below normal range
  58. What does anemia cause to the body?
    causes delivery of insufficient amounts of O2 to cells and tissues.
  59. With a DX of anemia what area are you most concered about?
    the brain getting O2
  60. What is the etiology of anemia?
    • Types of anemia
    • Blood loss
    • impaired production of RBCs
    • increased destruction of RBCs
    • Nutitional deficiencies
  61. What is the clinical assessment of anemia?
    • Anorexia
    • dyspepsia
    • Cardiac dilation
    • Disoriontation
    • SOB
    • Dyspnea
    • fatigue
    • headache
    • Level of constousnous
    • insomnia
    • pallor
    • palpitation
    • tachycardia- not enough O2 flowing through
    • vertigo
    • orthosatic hypotention-wait 1 min to move b/w each lying sitting standing
  62. Do you have enough blood circulating with a DX of anemia?
  63. If a pt has a hbg lower than 8 do you get them up?
    no pt on bedrest
  64. What DX depends on the cause
    correction of the disese process may correct or lessen the condition
    tx is specific
    • anemia TX
    • O2
    • iv
    • bedrest
    • keep warm
    • ADL ax1
    • I&O
    • perfusion of kidney- amt Out
    • gyaic stools
  65. What is hypovolemic anemia?
    • Abnormally low circulating blood volume due to blood loss
    • 500ml loss can cause severe complications
    • severity and signs and symptoms depend on how rapid the blood loss is
  66. What does the S/S point to:
    stupor; irritability
    pale; cool, moist skin
    hbg less than 10g/100ml
    hct less than 40%
    Hypovolemic anemia
  67. When a pt is in hypovolemic state what do you do to their legs?
    • You elevate lower legs to get blood back to heart
    • tramdelemburg
  68. What are the NI of hypovolemic anemia?
    • Control bleeding
    • treat shock-O2 elevate lower legs, keep warm
    • Replace fluid- blood transfusion, plasma,dextran, Lactated ringers
    • monitor vitals
  69. what is dextran?
    Medication for expanding plasma make pt plasma thincker
  70. What kind of solution is Lactated Ringers?