Summary NR 324 Adult Health 1 Hematology 2024.

NR 324 Adult Health 1 Hematology 2024. Function of Bone Marrow Produces blood cells Yellow Marrow Adipose/Fat Red Marrow found in the long bones (i.e Femur, Ribs, Humorous); Broken long bones=massive blood loss What organ stimulates production of erythropoietin? Kidneys Functions of Blood Transportation: O2, CO2, nutrients, hormones, waste Regulation: water, electrolyte balance Protection: fights infection, clotting Red Blood Cells(RBCs) Erythrocytes White Blood Cells (WBCs) Leukocytes Platelets Thrombocytes Where does clotting factor production take place? the Liver Functions of Erythrocytes -Transport O2 and CO2 -Fuse to form hemoglobin Life Span of Erythrocytes ~180 days Where are Erythrocytes Broken Down? in the liver(hemolysis) Nutrients needed to form Erythrocytes Folate (leafy green veggies), iron, B12, B2, and B6 Function of Leukocytes responsible for Defense via Immune response and clotting Function of Neutrophils acute inflammation Function of Eosinophils antigen-antibody reactions(elevated in CA) Basophils allergic response Without functional Kidneys... you cannot create new blood Blood drains into what system? Lymphatic (swollen/ tender nodes due to increased WBCs) Hypoxia signals the Kidneys to produce Erythrocytes (the kidneys thing you need blood because blood carries O2) Granulocytes responsible for phagocytosis( they eat) Lymphocytes Cellular and humoral immune response B Cells responsible for memory; recognize bacterial infections Anemia results from lack of... Folate, Iron, B12, B2, B6 T Cells more memory than B, antigen-specific; recognize virus and fungus Thrombocytes responsible for hemostasis, blood clotting Fibrin allows platelets to stick together Bruising and Petichiae indicate... a platelet disorder Spleen makes RBCs, RBS and platelet storage; spleen rupture=massive bleed out; filers bacteria Universal Donor O- Universal Recipient AB+ Anemia deficiency in the number of RBC or hemoglobin; blood loss, decreased RBC production, Increased Destruction How do we give blood? Over 2 hours; prevent Hyperkalemia; get baseline vitals, check vitals 15 after infusion; if pt has a reaction, stop immediately and do not flush; don't give via Pump; Use Y tubing Who is at Risk for Blood Loss? ppl on NSAIDs, ASA Blood Transfusion reaction bad, bad, bad, cell death=K+ overload=Cardiac Arrest S/S of Anemia dizzy, tired, SOB, paleness Iron Supplements cause constipation, teach patients about use of stool softness (Colace) and to expect Black stool, When do we transfuse? Hemoglobin below 7 Normal Hemoglobin ... Normal Hematorit ...