Neutropenia
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, Neutropenia is a reduction in neutrophils
Absolute Neutrophil Count (ANC) < 1000/uL
Neutrophils= fight infection
Multiple Etiology: Medications, disease states, infection
Most common cause is the use of chemotherapy drugs and
immunosuppressive therapy in the treatment of malignancies and
autoimmune disease
S/S:
Predisposition to infection!
(low wbc= cannot fight infect.)
Classic manifestations of infection (redness, heat, swelling, development of
pus) may not occur. (d/t low wbc)
Due to limited or no ability to fight infection, minor infections can lead
rapidly to sepsis and death.
Dx:
-CBC with differential shows a decreased WBC count and neutrophil count
-Peripheral blood smear (detect defective WBC)
-Bone marrow biopsy
-A high WBC count can still be present in neutropenia (doesn't differentiate
btw all wbc)
--The CBC count can include defective WBCs
--The differential count of neutrophils indicates the actual amount of
mature and immature neutrophils.
Anemia caused by blood loss
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, Acute:
Surgery
Trauma
Body has no time to compensate
Low RBC, low H/H
Monitor for hypovolemic shock
Administer fluid and blood product replacement
Chronic:
GI bleed
Hemorrhoids
Menstrual
Body has time to compensate
May or may not be symptomatic
Administer replacement blood products
Administer iron supplements
Megaloblastic anemia cobalamin (b12) deficiency- S/S
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S/S develop slowly due to tissue hypoxia
GI manifestations: Sore tongue, anorexia, nausea, vomiting, and abdominal
pain
Neuromuscular manifestations: Weakness, paresthesias of feet and hands
(b12 supports neuro system)
↓ vibratory and position senses, ataxia, muscle weakness, and impaired
thought processes
Sore, red, beefy and shiny tongue
Megaloblastic anemia Folic Acid deficiency
Give this one a try later!
Give this one a try later!
, Neutropenia is a reduction in neutrophils
Absolute Neutrophil Count (ANC) < 1000/uL
Neutrophils= fight infection
Multiple Etiology: Medications, disease states, infection
Most common cause is the use of chemotherapy drugs and
immunosuppressive therapy in the treatment of malignancies and
autoimmune disease
S/S:
Predisposition to infection!
(low wbc= cannot fight infect.)
Classic manifestations of infection (redness, heat, swelling, development of
pus) may not occur. (d/t low wbc)
Due to limited or no ability to fight infection, minor infections can lead
rapidly to sepsis and death.
Dx:
-CBC with differential shows a decreased WBC count and neutrophil count
-Peripheral blood smear (detect defective WBC)
-Bone marrow biopsy
-A high WBC count can still be present in neutropenia (doesn't differentiate
btw all wbc)
--The CBC count can include defective WBCs
--The differential count of neutrophils indicates the actual amount of
mature and immature neutrophils.
Anemia caused by blood loss
Give this one a try later!
, Acute:
Surgery
Trauma
Body has no time to compensate
Low RBC, low H/H
Monitor for hypovolemic shock
Administer fluid and blood product replacement
Chronic:
GI bleed
Hemorrhoids
Menstrual
Body has time to compensate
May or may not be symptomatic
Administer replacement blood products
Administer iron supplements
Megaloblastic anemia cobalamin (b12) deficiency- S/S
Give this one a try later!
S/S develop slowly due to tissue hypoxia
GI manifestations: Sore tongue, anorexia, nausea, vomiting, and abdominal
pain
Neuromuscular manifestations: Weakness, paresthesias of feet and hands
(b12 supports neuro system)
↓ vibratory and position senses, ataxia, muscle weakness, and impaired
thought processes
Sore, red, beefy and shiny tongue
Megaloblastic anemia Folic Acid deficiency
Give this one a try later!
