Escolar Documentos
Profissional Documentos
Cultura Documentos
Blood Tests
Coagulation Tests
Bone Marrow Biopsy
Lymphangiography
Lymph Node Biopsy
Blood Products
Packed Red Blood Cells
Frozen Red Blood Cells
Platelets
Albumin
Fresh Frozen Plasma
Cryoprecipitates
Transfusion Safety Steps
Assessment
Identification
Filtering
Washed
Warmed
Transfusion Complications
Febrile Reaction
Urticarial Reaction
Hemolytic Reaction
Anaphylactic Reaction
Circulatory Overload
Chapter 28
Pathophysiology
Accelerated Clotting
Clotting Factors Depleted
Bleeding
Etiology
Major Trauma
Signs and Symptoms
Abnormal Bleeding
Joint Pain
Nausea and Vomiting
Organ System Failure
Convulsions
Shock, Coma
Death
Bleeding: Signs and Symptoms
Easy Bruising
Petechiae
Blood in Urine
Black Tarry Stools
Bleeding from Nose or Gums
New Onset of Painful Joints
Hemorrhage of the Skin
Diagnostic Tests
PT, PTT
Platelet Count
Hbg
BUN, Cr
Therapeutic Interventions
Correct Underlying Cause
Administer
Blood
FFP
Platelets
Cryoprecipitates
Nursing Care
Recognize and Report Bleeding
Avoid Trauma and Further Bleeding
Teach Patient and Family
Bleeding Precautions
Fever Dyspnea
Infection Abdominal Pain
Pallor Malaise
Weakness Sternal/Rib Pain
Tachycardia CNS Changes
Palpitations Bleeding
Diagnosis
CBC
Bone Marrow Aspiration
Lumbar Puncture
Genetic Analysis
Therapeutic Interventions
Chemotherapy
Radiation Therapy
Bone Marrow Transplant
Hodgkins Disease
Cancer of Lymph System
Presence of Reed-Sternberg Cells
Etiology
Viral
Genetic
Immune Dysfunction
Signs and Symptoms
Painless Swollen Lymph Node
Pruritis
Pain Induced by Alcohol
Fever
Night Sweats
Weight Loss
Malaise
Late Signs and Symptoms
Edema of Face and Neck
Jaundice
Nerve Pain
Retroperitoneal Node Involvement
Spleen, Liver, and Bone Involvement
Diagnosis
Chemotherapy
Radiation Therapy
Comparison of Lymphomas
Hodgkins Non-Hodgkins
Younger Older
Less Debilitated More Debilitated
Fever and Night Fever and Sweats Less
Sweats Likely Likely
Local or Regional Usually Advanced
Spread
Splenectomy
Surgical Removal of the Spleen
Preoperative Care
Baseline Labs
Blood Transfusion If Necessary
Vitamin K
Baseline Vital Signs
Teach Coughing and Deep Breathing
Postoperative Care
Monitor for Bleeding
Monitor Vital Signs notify MD of abnormals
Administer Narcotics for Pain
Encourage to Cough and Deep Breathe and
Ambulate
Complications of Splenectomy
Bleeding
Pneumonia
Atelectasis
Infection
OPSI