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35 Cards in this Set
- Front
- Back
What is the normal RBC count for a male?
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4.7-6.1 million cells/mcL
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What is the normal RBC count for a female?
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4.2-5.4 million cells/mcL
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What does Hct stand for?
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Hct = hematocrit, ratio of how many formed elements (RBC, WBC) of blood vs. liquid element of blood
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What does Hb stand for?
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Hemoglobin - how much hemoglobin there is in the blood
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How much of the blood does Hct/Hb make up? In males? Females?
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33-44%; males 13.5 -17.5 gm/dL, females 11.8-15.5 gm/dL
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What is MCV? What does it reflect? What is the normal level?
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Mean corpuscular volume, reflects size of blood cell. 80-100 fl (femtolitres, 10^-15)
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What do MCH and MCHC reflect? What is the normal level of each?
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Hemoglobin content of RBC. MCH: 27-31 picogram/cell (picogram = 10^-12), MCHC: 32-36 g/dl (19-22 mmol/L)
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What RBC measures are use to diagnose types of anemia?
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MCV, MCH, MCHC
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Which anemias show a decrease in MCV?
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Microcytic - 1) iron deficiency (inadequate dietary intake, GI blood loss, menstrual blood loss) 2) thalassemia 3) chronic disease 4) GI cancer
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Which anemias show an increase in MCV?
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Macrocytic (MCV up to 150fL) - 1) Hemolytic anemia (presence of reticulocytes increases MCV) 2) pernicious anemia 3) alcoholism 4) Vitamin B12 or folic acid deficiency
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What diseases cause a decrease in MCH?
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Microcytic anemias - iron defiency anemia
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What diseases cause a decrease in MCHC?
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Microcytic anemias = hypochromic, paler,because there isn't enough hemoglobin.
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What diseases cause an increase in MCHC?
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Macrocytic anemia (color remains normochromic)
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What ratios of Hct/Hb = regular? Polycythemia? Dehydration?
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33%, 50%, 50%
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How much hemoglobin should you have, regardless of age or sex?
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12-18 gm/dL
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What is the normal Hct/Hb ratio? What patients should you NOT treat, unless in an emergency?
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~3:1. Patient with Hct <30%, Hb < 10 gm/dL
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What diseases INCREASE RBC?
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People Die of Tissue hypoxia and CROPs
Pulmonary disease Dehydration Tissue hypoxia Congenital heart disease Renal problems Over-transfusion of whole blood Polycythemia vera |
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Increase or decrease RBC?
Pulmonary disease |
Increase
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Increase or decrease RBC?
Dehydration |
Increase
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Increase or decrease RBC?
Tissue hypoxia |
Increase
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Increase or decrease RBC?
Congenital heart disease |
Increase
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Increase or decrease RBC?
Renal problems |
Increase
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Increase or decrease RBC?
Overtransfusion of whole blood |
Increase
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Increase or decrease RBC?
Polycythemia vera |
Increase
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Increase or decrease RBC?
Trauma burns |
Decrease
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Increase or decrease RBC?
Pregnancy |
Decrease
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Increase or decrease RBC?
Hemolytic anemia |
Decrease
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Increase or decrease RBC?
Hemorrhagic infections |
Decrease
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Increase or decrease RBC?
GI or other vascular bleed |
Decrease
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Increase or decrease RBC?
Iron deficiency anemia |
Decrease
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Increase or decrease RBC?
B12 or folate deficiency |
Decrease
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Increase or decrease RBC?
Bone marrow damage |
Decrease
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Increase or decrease RBC?
Metabolic disorders |
Decrease
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Increase or decrease RBC?
Chronic inflammation |
Decrease
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