FNP~Hematology
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| Normal Hgb values... | show 🗑
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| show | 40-54% (males)....37-47% (females)
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| show | 250-450 ug/dl
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| show | because a decrease in iron means more spaces are empty to bind to
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| When are sx's likely to be present in a patient with low Hgb | show 🗑
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| show | 50-150 ug/dl
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| show | size of individual RBC's; 80-100 u3
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| show | ~micro <80 ~normo 80-100 ~macro >100
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| What is the MCHC and the normal value? | show 🗑
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| What value is "hypochromic", "normochromic", "hyperchromic"? | show 🗑
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| show | iron deficiency anemia and thalassemia (microcytic, hypochromic)
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| show | pernicious anemia/B-12 deficiency or folate deficiency; alcoholism, liver failure and drug affects (macro-, normo-)
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| What is the differential dx of "Normocytic"? | show 🗑
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| What are the lab results in iron deficiency anemia? | show 🗑
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| Most common causes of iron deficiency anemia.. | show 🗑
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| Management of iron deficiency anemia... | show 🗑
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| show | inherited disorders resulting in abnormal Hgb production and microcytic, hypochromic anemia
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| show | ~low MCV ~low MCHC ~normal TIBC (*there is NO need for iron) ~ferritin (*NO need for iron)
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| Management of Thalassemia... | show 🗑
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| show | glossitis
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| show | inadequate intake/malabsorption (elderly, alcoholics, poor) of folic acid (needed for RBC production)
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| T/F: neuro signs are seen in folic acid deficiency | show 🗑
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| show | ~MCV^ ~MCHC normal ~
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| show | ~Folate 1mg po qd ~diet: bananas, peanut butter, fish, green leafy veggies, Fe breads and cereals
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| show | anemia due to deficiency of intrinsic factor = in malabsorption of B12
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| What would labs show in pernicious anemia? | show 🗑
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| T/F: nuero signs are seen in pernicious anemia | show 🗑
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| show | ~B12 100mcg IM daily x 1 wk ~maintenance treatment = lifelong monthly admin
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| What is anemia of chroinc dz associatesd with? | show 🗑
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| Etiology of anemia of chronic dz... | show 🗑
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| What would labs show in anemia of chronic dz? | show 🗑
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| Management of anemia of chronic dz... | show 🗑
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| show | ~MCV normal ~MCHC normal ~decreased Hgb ~peripheral smear shows classic distorted sickle-shaped RBC's
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| Job of Neutrophils (polys, segs)... | show 🗑
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| show | against virus, 30% of diff
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| Job of Monocytes... | show 🗑
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| show | activated with allergies, parasites (worms, wheezes, weird dz), 3%
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| Job of Basophils... | show 🗑
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| What does a "Left shift" indicate... | show 🗑
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| Leukocytosis... | show 🗑
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| show | increase in number of available neutrophils to >70% TWBC (normal in adults 50-70%)
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| Bandemia... | show 🗑
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