Hematology

Pediatric Transfusion There are precautions one must always take when assisting in a transfusion case, but extra care and monitoring is done when a pediatric patient is involved. Special requirements and testing must be done from the moment these patients are first born. For example, only forward blood typing must be done for infants because they do not make antibodies until reaching four months of age. Similar to blood typing, different regulations are required when transfusing a pediatric…

Bedeiry 1 This case study talks about a male trauma patient aged 36 years who was transported to a health care facility for emergency surgery. A sample was taken to the blood bank for pre-transfusion testing; including type and antibody screen and crossmatch for six units of PRBCs. After the units were issued to the OR, the patient received five compatible units of RBCs. After the infusion of about 100mL of the sixth unit, the transfusion stopped because the patient became hypotensive. The…

Anemia in SCD patients can be caused by problems with the spleen known as splenic sequestration crisis and aplastic crisis. In splenic sequestration crisis the red blood cells become stuck in the spleen making it enlarge rapidly. Because these cells are trapped, there are fewer cells to circulate through the blood, resulting in anemia. Aplastic crisis occurs when a common infection known as Parvovirus B19 is caught. Parvovirus is a common infection in childhood also known as fifths disease, a…

Deep vein Thrombosis is the third most common cardiovascular disease after acute coronary syndromes and strokes, affecting 2 million individuals in the US each year. (Theodorou, Theodorou, & Kakitsubata, 2003) Although more commonly limited to the veins of the calf, lower extremity deep vein thrombosis is a very serious medical condition that can result in death or disability. DVT is a condition that happens when blood clots are present and forms in a deep vein, usually in the leg. It is…

Multiple Myeloma Cancer comes in many forms and severity, and nearly everyone can relate to cancer in one way or another. One specific cancer of the bone has affected many today, and the number of cases is increasing every year. “Multiple myeloma is the most common primary bone cancer among U.S. adults aged 70 years and older, and the incidence of the disease is increasing” (Reisenbuckler, 2014, p. 391). Because this disease is increasing, it is important to know exactly what multiple myeloma is…

When Blood Takes Away from Your Life - Rodney Lemay What is a Bleeding Disorder: Quality of life is a very important aspect to consider and if that can be improved upon, it is wise to do so. Bleeding disorders often fall unnoticed and can have harmful effects on the body. Many people even put up with the symptoms of a bleeding disorder without even knowing that they are doing so. A bleeding disorder can go unchecked as they are commonly relatable to a woman 's period for example. The usual side…

Mukhopadhyay, A., Yip, H. S., Prabhuswamy, D., Chan, Y. H., Phua, J., Lim, T. K., & Leong, P. (2010). The use of a blood conservation device to reduce red blood cell transfusion requirements: a before and after study. Critical Care, 10(1), 7. http://dx.doi.org/ 10.1186/cc8859 This paper critiques the above named research study, the step by step format used in this critique are guidelines adopted from the recourses available on the lecture note site on blackboard. Purpose: In this study,…

INVESTIGATION: On 06/26/2016 at approximately 0311 hours, I was notified by Master Detective L. Cichon #3846 of a traffic crash involving life-threatening injuries on Bloomingdale Avenue, west of Bell Shoals Road. Master Detective L. Cichon advised the crash involved a single vehicle with a 15 year old occupant being flown to Tampa General Hospital with life-threatening injuries. She was responding to Tampa General Hospital and requested Detective M. Carter #181968 and I respond to the scene.…

The cardiovascular system consists of the heart, blood vessels, and blood (“Major Functions,” n.d.). Leukemia is a malignant cancer of the blood and bone marrow that affects this system and involves an abnormal growth of white blood cells (McGlaufin, Munger, and Nelson, 2015). Acute Myeloid Leukemia (AML) is a subtype of this disease and is most common in older adults, specifically males 65 and older (Turbeville, 2014). In AML, the bone marrow produces abnormal white blood cells, red blood cells…

Eighty-two years old male patient is presented to the emergency room with onset of dyspnea that is made worse by exertion, relieved by rest and oxygen. Patient stated that he did not try any of his home breathing treatments but did use home oxygen. Patient has a significant past medical history of coronary artery disease with two stents, COPD requiring home oxygen at 4lpm, hypothyroidism, and type 3 diabetes. While in the emergency department the patient was placed on a cardiac monitor and an…