What does absolute neutrophil count The total number of neutrophils in the blood
measure?
Which lab test is used to monitor the PTT (partial prothrombin time)
intrinsic pathway?
Which lab test is used to monitor the PT (prothrombin time)
extrinsic pathway?
aPTT (activated partial thromboplastin time) 30-40 seconds
INR 1 or less
PTT (partial prothrombin time) 60-70 seconds
PT (prothrombin time) 10-13 seconds
What drug does PT (prothrombin time) Warfarin (Coumadin)
monitor?
What drug does PTT and aPTT monitor? Heparin
Females: 3.61 - 5.11 million/mm3 (4)
Red Blood Cell (RBC) Count
Males: 4.21 - 5.81 million/mm3 (5)
Females: 36% - 48% (39)
Hematocrit
Males: 42% - 52% (45)
Females: 11.7 - 15.5 g/dL (13)
Hemoglobin
Males: 14 - 17.3 g/dL (15)
White Blood Cell (WBC) Count 4.50 - 11.1 103/mm3
Absolute Neutrophil Count (ANC) 1.5 to 8.0 (1,500 to 8,000/mm3)
Platelets 150,000 - 450,000/µL
, -Indicates that more immature cells are present in the blood than normal
What does a WBC shift to the left mean?
-Occurs with acute infection, inflammation, or some other significant physical stress
Occurs when there is a reduction in the oxygen-carrying capacity through either
What is anemia?
fewer RBCs or a reduction in hemoglobin
-Shortness of breath
-Tachypnea
What are symptoms of decreased -Tachycardia
hematocrit? -Pallor
-Fatigue
-Dizziness
-Meat (especially red meat)
-Dark green leafy vegetables (spinach, broccoli, peas)
-Beets
-Dried beans
What are dietary sources of iron?
-Iron-fortified breakfast cereals and breads
-Cream of Wheat
-Ingesting citrus fruits such as oranges or grapefruits increases the vitamin C intake
and may improve iron absorption
-Fatigue
-Pallor
What are clinical manifestations of iron- -Tachycardia
deficiency anemia? -Tachypnea
-Glossitis (smooth, shiny tongue)
-Koilonychia (spoon-shaped nails)
-A complete blood count (CBC) demonstrates decreased hemoglobin and
hematocrit levels
How is iron-deficiency anemia diagnosed? -Serum ferritin levels less than or equal to 100 ug/L indicate IDA 100% of the time
-Additional diagnostic studies to confirm IDA include serum iron, total iron-binding
capacity (TIBC), serum transferrin receptors, and mean corpuscular volume (MCV)
-Dietary sources of iron
-Immediately report any signs of bleeding, increasing fatigue, or shortness of breath.
What teaching do you need to provide to a
-Daily iron supplements must be taken as prescribed.
client with iron-deficiency anemia?
-Dangers of lead exposure
-Prenatal teaching about iron intake
-Meat
-Seafood
What are dietary sources of vitamin B12?
-Eggs
-Dairy products