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Hematologic SystemMedical Surgical Nursing

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_______ are the WBC involved in cellular and humoral immunity.
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Leukocytes
______ are WBC that are capable of phagocytosis of large matter like bacteria, dead cells, tissue debris, and old RBCs. They are second to arrive at the scene of an injury.
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Monocytes
Where is the majority of the body's iron stored?
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As heme in hemoglobin (2/3rds)
Where is ferritin and hemosiderin stored?
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In the liver, spleen, macrophages and bone marrow
_______ is a term used to describe the blood clotting process.
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Hemostasis
What are the four major functions of the spleen?
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Hematopoietic function: produces RBC during fetal development Filtration:Remove old RBC and recycle iron, filters bacteria Immunologic: stores lymphocytes, monocytes and Igs Storage: RBCs and platelets
Where are the highest number of lymph nodes concentrated in the body?
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In the abdomen, surrounding the GI tract
The ______ produces all the procoagulants that are essential to hemostasis and blood coagulation.
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Liver
_______ is a substance produced by the liver that is key to iron balance. Synthesis is triggered by iron overload or inflammation.
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Hepcidin
T/F Iron absorption isn't impacted by aging, therefore any low hemoglobin levels in an elderly patient warrants investigation.
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True
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_________ is a word for excessive red blood cells and is common in people who live in high altitudes or who smoke. It can also be indicative of chronic hypoxemia, as experienced with pulmonary disorders.
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Polycythemia
What is Hemarthrosis?
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Blood in a joint, it can be very painful
Paleness can be indicative of what hematologic problem?
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Anemia
What hemotologic problem? Transient flushing of the face and neck
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Polycythemia or congestion of the capillaries
What hemotologic problem? Flushing of the palms of the hands or soles of the feet
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Anemia
What hemotologic problem? Jaundice
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Rapid/excessive hemolysis or liver damage
What hemotologic problem? Cyanosis
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Excessive hemoglobin or deoxyhemoglobin in the blood
What hemotologic problem? Excessively itchy skin (pruritis)
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Hodgkin's lymphoma, cutaneous lymphoma, infiltrative leukemias, increased bilirubin
What hemotologic problem? Prominent leg ulcer on the medial malleoli
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Sickle cell disease
What hemotologic problem? Angioma (benign tumor consisting of blood or lymph)
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Congenital defect, usually spontaneously resolve
What hemotologic problem? Purpura
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Decreased platelets or clotting factors resulting in hemorrhage into the skin
  
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