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Hematological Emergencies - Chapter 24 (Nancy Caroline's Emergency Care in the Streets 7th Edition)
Terms in this set (21)
You would expect a person's hematocrit to be low if he or she:
Common signs and symptoms of lymphoma include:
night sweats and chills.
Patients with type A hemophilia:
have a deficiency of factor VIII.
The volume of plasma in an adult with a total blood volume of 6.5 liters is approximately:
Production of clotting factors is a function of the:
Which of the following is NOT typically associated with leukemia?
Absence of fever
The hematocrit is the:
overall proportion of red blood cells in the blood.
Which of the following is NOT a major component of the hematologic system?
In contrast to chronic leukemia, acute leukemia occurs when:
bone marrow is replaced with abnormal lymphoblasts.
Anemia would result from all of the following conditions, EXCEPT:
an increase in iron
A painless, progressive enlargement of the lymphoid glands that most commonly affects the spleen and lymph nodes is called:
You are dispatched to a residence for a 29-year-old woman with difficulty breathing. The patient was recently diagnosed with leukemia and has just completed her first round of chemotherapy and radiation therapy. Upon arriving at the scene, you find the patient sitting in a recliner. Her level of consciousness is markedly diminished and her breathing is shallow. Her husband, obviously frightened, pleads with you to do something. You should:
Move her to the floor and open her airway.
Anemia resulting from an autoimmune disorder occurs when:
red blood cells are destroyed by the body's own antibodies.
During the second stage of disseminated intravascular coagulopathy:
decreased clotting factors cause uncontrolled hemorrhage
As multiple myeloma progresses, the patient would MOST likely experience:
Red blood cell production is stimulated by erythropoietin, which is secreted by the:
Most of the blood's formed elements are:
In which of the following situations would a transfusion reaction MOST likely occur?
A person with type O blood receives type AB blood
You receive a call to a residence for a patient who is "sick." Upon arriving at the scene, you find the patient, a 39-year-old woman, lying on the couch with a wet washcloth on her forehead. She is conscious and alert, and tells you that she has had several episodes of diarrhea and noticed bright red blood in her stool. Her pulse rate is rapid and weak, her skin is cool and clammy, and her blood pressure is 98/58 mm Hg. Her medical history is significant for hemophilia, for which she is receiving factor VIII therapy. As you pull out a non re-breathing mask, she tells you that her husband will be home in a few hours and that he will take her to the hospital. You should:
advise her that her condition dictates immediate transport to the hospital and that delaying transport could result in death.
A 23-year-old woman with sickle cell disease presents with severe joint pain and a fever of 102.5°F. She is conscious and alert, and tells you that her symptoms began yesterday and suddenly worsened today. Her blood pressure is 118/76 mm Hg, pulse rate is 120 beats/min and regular, and respirations are 24 breaths/min with adequate depth. After applying high-flow oxygen and initiating transport, you should:
Monitor her oxygen saturation and cardiac rhythm, start and IV line with normal saline, administer 1µg/kg of fentanyl, and reassess her vital signs.
Indolent non-Hodgkin lymphoma:
may never spread from the lymphoid system
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