NURP 532 Hematology Exam 3
Study Guide
Normal platelet count - Answer 150,000-400,000
Thrombocytopenia - Answer low platelet count; less than 150
platelets less than 10,000 is at risk for spontaneous....... - Answer hemorrhage for
surgery or trauma
platelets over 400,000 are at risk for - Answer clotting
recommended first line treatment for newly diagnosed thrombocytopenia and platelet
count less than 30,000 - Answer give steroids for 21 days
Normal WBC count - Answer 5,000-10,000
WBC also called - Answer leukocytes
Normal neutrophil count - Answer 40-60%
what does a left shift indicate in hematology? - Answer the bands have increased
indicating an infection
what type of illness has the biggest effect on WBCs? - Answer bacterial infection
normal lymphocyte count - Answer 20-40%
Normal monocyte count - Answer 2-8%
Normal eosinophil count - Answer 1-4%
an abnormal eosinophil count can be caused by - Answer allergies or parasitic infection
abnormal monocyte levels can indicate - Answer bacterial infections or autoimmune
abnormal lymphocytes indicates - Answer viral illness
Normal basophil count - Answer 0.5-1%
what should you be concerned with in abnormal basophils? - Answer malignancy
-cytosis, -philia - Answer increased numbers
-penia - Answer decrease, deficiency
cytosis/philia=elevation
, what are your concerns? - Answer infection, stressors, malignancy
penia=decrease
what are you concerned for or looking at? - Answer neutrophils
hep c, tb, lyme, ra, chemotherapy
Normal RBC count - Answer 3.5-5
If hematocrit is a lot higher than hgb what should you think? - Answer dehydration
_________________=how big the cells are, size and volume of RBC - Answer MCV
MCV is low in - Answer micro
MCV is high in - Answer macro
MCH - Answer amount of hemoglobin
We look at MCH to determine what? - Answer type of anemia (ie iron deficiency)
RDW - Answer red cell distribution width
Measurment of variation in size, higher the number, more variation in size, depends
where you are in the time course of anemia - Answer RDW
Life cycle of RBC - Answer 90-100 days
TIBC - Answer total iron binding capacity
affinity (attraction) of cells to iron, higher affinity if in need of iron - Answer TIBC
iron deficiency anemia has a higher or lower affinity level? - Answer higher
__________ affinity if the body has enough iron - Answer normal
Absolute retic count should be - Answer 25,000-75000
how well bone marrow is functioning, blood cell production - Answer retic count
in hemolytic anemia what does the retic count look like - Answer high
the retic count can increase on patient start taking _____________ - Answer iron
Normal ferritin levels - Answer 7-140
ferritin= - Answer iron storage
any ferritin level under _______ is considered low - Answer 30
this is the most reliable lab to dx iron deficiency anemia - Answer ferritin
Study Guide
Normal platelet count - Answer 150,000-400,000
Thrombocytopenia - Answer low platelet count; less than 150
platelets less than 10,000 is at risk for spontaneous....... - Answer hemorrhage for
surgery or trauma
platelets over 400,000 are at risk for - Answer clotting
recommended first line treatment for newly diagnosed thrombocytopenia and platelet
count less than 30,000 - Answer give steroids for 21 days
Normal WBC count - Answer 5,000-10,000
WBC also called - Answer leukocytes
Normal neutrophil count - Answer 40-60%
what does a left shift indicate in hematology? - Answer the bands have increased
indicating an infection
what type of illness has the biggest effect on WBCs? - Answer bacterial infection
normal lymphocyte count - Answer 20-40%
Normal monocyte count - Answer 2-8%
Normal eosinophil count - Answer 1-4%
an abnormal eosinophil count can be caused by - Answer allergies or parasitic infection
abnormal monocyte levels can indicate - Answer bacterial infections or autoimmune
abnormal lymphocytes indicates - Answer viral illness
Normal basophil count - Answer 0.5-1%
what should you be concerned with in abnormal basophils? - Answer malignancy
-cytosis, -philia - Answer increased numbers
-penia - Answer decrease, deficiency
cytosis/philia=elevation
, what are your concerns? - Answer infection, stressors, malignancy
penia=decrease
what are you concerned for or looking at? - Answer neutrophils
hep c, tb, lyme, ra, chemotherapy
Normal RBC count - Answer 3.5-5
If hematocrit is a lot higher than hgb what should you think? - Answer dehydration
_________________=how big the cells are, size and volume of RBC - Answer MCV
MCV is low in - Answer micro
MCV is high in - Answer macro
MCH - Answer amount of hemoglobin
We look at MCH to determine what? - Answer type of anemia (ie iron deficiency)
RDW - Answer red cell distribution width
Measurment of variation in size, higher the number, more variation in size, depends
where you are in the time course of anemia - Answer RDW
Life cycle of RBC - Answer 90-100 days
TIBC - Answer total iron binding capacity
affinity (attraction) of cells to iron, higher affinity if in need of iron - Answer TIBC
iron deficiency anemia has a higher or lower affinity level? - Answer higher
__________ affinity if the body has enough iron - Answer normal
Absolute retic count should be - Answer 25,000-75000
how well bone marrow is functioning, blood cell production - Answer retic count
in hemolytic anemia what does the retic count look like - Answer high
the retic count can increase on patient start taking _____________ - Answer iron
Normal ferritin levels - Answer 7-140
ferritin= - Answer iron storage
any ferritin level under _______ is considered low - Answer 30
this is the most reliable lab to dx iron deficiency anemia - Answer ferritin