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CBC

This should help you understand and hopefully remember the components of the CBC. I have put SOME of the diseases you need to know in this exercise because it might help you remember the CBC components better. This is not for learning nursing care of these patients but to learn lab values!

AB
WBC5-10K/mm3
RBC3.5-5.0/mm3
platelets150-400K, under 50K considered critical value
Hemoglobinde13.5-17.5g/dl, delivers O2 and returns CO2
hematocritusually three times the hemoglobin
NeutrophilsWBC non specific and on constant survailence in the body- second line of defense in the immune system
Lymphocytes40 % of the total WBC normally; finish maturing in the lymph nodes, they are antigen specific cells
Bandsimmature neutrophis, indicate overwhelming infection
reticulocytesimmature RBC, usually indicate prolonged loss of RBCs
Hemophiliafactor VIII deficiency, giveFactor VIII for bleeding!
PTcoumadin effects-extrinsic and common pathway
PTTheparin effects-intrinsic pathway
T lymphusually kill viruses, third line of efense in the immune system
B lymphmake antibodies, third line of defense in the immune syster
CD4+conductor of the immune system, necessary for T and B lymphocytes to work together
Pernicious anemiavitamin B12 deficiency, lack of intrisic factor
iron deficiency anemiaH/ H low and MCV low; may be a sign of GI loss of cancer in the adult
Irontake on an empty stomach for best absorption
Procritgentetically engineered erythropoietin- used to treat certain anemias
stem cellsfound in the bone marrow, responsible for hematopoiesis
G-CSF (Neupogen)stimualtes immature neutrophils to divide and differentiate
dysfunctional stem cellsBlood cell numbers are really high or really low and the cells that are made are non-functional
Vitamin Ciron is best utilized in body if taken with vitamin C; :also tens to help immune system
Folic Acidessentail for erythropoiesis
Life span is 120 daysRBC
Life span is 2-4 hoursneutrophils
anemiaRBC destruction (hemolysis), decreased production of RBC or loss of RBCs
life span is 10 daysthrombocyte (platelet)
aplasitc anemiaa cell lines (myeloid and lymphocytic)are depressed, bone marrow aspiration to dx
ALLboys 4years old! can be cured with BMT
CMLGleeve WORKS! super high non- functioning WBCs- s/s vary
AML60+ years incidence, fever and infection from neutropenia first s/s
CLLthe CA Nick had- 60 years old usually- cancer of the B lymphs- lymphoadenopathy and high lymph counts or maybe no symptoms!
multiple myelomacancer of the plasma cell- cant make antibodies- very painful disease
Sicle Cell Anemia (SCA)Hgb cant carry 02 or CO2- tissuesstarve- chronically anemic and very painful!!
Non Hodgkins lymphoma (NHL)not such a good survival rate as Hodgkins- BMT for a cure usually, seen in immunodeficiencies or immunosuppressed peoplepu
Hodgkins Lymphomacan be cured if caught early, tumors start in lymph nodes, young kids and people over 50 are typical
immunocompetentall pieces of the immune system are they and are working proplerly
immunosuppressedsteroids- all players in the immune system are shut down or suppressed
immunodeficienta part of the immune system is missing for multiple reasons


Program Director/Instructor, Medical Assisting
Winter Park Tech
Winter Park, FL

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