Thrombocytopenia is a condition in which the body does not have a normal number of platelets in the blood. Blood is made up of three major cell types: red blood cells, which carry oxygen throughout the body; white blood cells, which help fight infection; and, platelets, which stick together at the site of a cut or wound to form a clot to stop the bleeding. People who have thrombocytopenia don’t have enough platelets to form a blood clot, and so they may bleed excessively when they are cut. (nhlbi.nih.gov, 2013) Blood cells and platelets are made in the bone marrow, which is the spongy tissue inside the bones. There may be certain factors that may interfere with the body’s normal ability to make platelets. There is times when the …show more content…
Drinking too much alcohol Thrombocytopenia causes bleeding which can be internal or external. If you get poked or hit you can bleed internal and cause a hematoma that might not stop bleeding for a very long time. At times the only way you know if you have been bleeding internally you might notice blood in your urine or in you stool or even bleeding from the rectum. If you cut yourself the bleeding can go on for a long time it may not be able to stop on its own. For women with thrombocytopenia, during their menstrual cycle, the bleeding is heavier. (nhlbi.nih.gov, 2013) Thrombocytopenia is usually detected incidentally from routine blood work done for other reasons. Platelets are a component of the complete blood count (CBC) which also contains information on red blood cells and white blood cells. If thrombocytopenia is seen for the first time, it is prudent to repeat the complete blood count in order to exclude pseudothrombocytopenia. If the repeat CBC confirms low platelet counts, then further evaluation can begin. A comprehensive review of the other components of the CBC is one of the most important steps in the evaluation of low platelet count. The CBC can tell us whether other blood disorders may be present, such as, anemia (low red cell count or hemoglobin), erythrocytosis (high red blood cell count or hemoglobin), leukopenia (low white cells count), or leukocytosis (elevated white blood cell count). These abnormalities may suggest bone marrow problems as the potential …show more content…
For example, if you have heparin-induced thrombocytopenia, your doctor will direct you to stop using heparin and prescribe a different blood-thinning drug. Your thrombocytopenia may persist for a week or more despite stopping all heparin therapy. If your platelet level become too low, your doctor can replace blood loss with transfusions of packed red blood cells or platelets. If other treatment does not help your doctor my recommend a splenectomy. An enlarged spleen may harbor too many platelets, causing a decrease in the number of platelets in circulation. (mayo clinic,
Therapeutic responses: decreased bleeding tendencies, decreased PT, decreased clotting time. Teach patient/ family Not to take other supplements unless directed by prescriber. The necessary foods for diet. To avoid IM inj, use soft tooth-brush, do not floss, use electronic razor until coagulating defects corrected.
Assessment 2 Short Essay Question -01 Discuss Mr. Ronald bates systemic assessment and priorities of management Mr. Ronald bates presented to the emergency department with shortness of breath (Respiratory rate- 24 breaths/min) and general discomfort (pain score- 4/10) and it was started in the morning and worsens when doing activities. The above presenting complaints lead to a possible cardiac event, so that this presentation would be triaged as category 2. Therefore, medical officer would be notified regrading patient presentation and put Mr. bates to semi fowler’s position in the Emergency bed if this position is comfortable for him. Further primary systemic assessment of the patient starts with an order with an assessment of
Each and every tiny droplet of blood pattern is less than 1mm in
The V/Q scan would show the blood clot, the blood flow restriction, and measures airflow. Barbra shouldn't take aspirin and ibuprofen because she already taking Warfarin. This would cause her blood to thin out too much and cause internal bleeding. That's why they have to watch out for bruises and purple toes and fingers.
The patient follows the doctor’s recommendation for completing blood work to ensure the medication is consistently within the therapeutic level. Therefore, the International Normalized Ratio (INR), prothrombin time
Imagine a world, where people’s red blood cells couldn’t move through their blood tubes to supply oxygen. With sickle cell your blood cells aren't normally shaped, and they become hard. In addition, they should be more of a “donut” shape rather than a “crescent”. When the sickle cells approach the small blood tube, they begin clogging the flow, and breaking apart. In this situation, it causes pain, low blood count and lots of damage.
Freedom of religion seems straightforward. Those who possess this freedom exercise it in different ways; some of which are quite unique. An article from the Los Angeles Times describes a car accident in which Jadine Russell was struck by a drunk driver, and subsequently lost her life. The driver, Keith Cook, had a previous DUI (Driving Under the Influence) and was still on probation for that crime. However, the charge of murder was hotly contested by Cook’s lawyers.
While waiting for BNP test result mrs.Smith is referred to medical team for further investigation when the medical registrar came to review mrs . Smith BNP result arrived and which was normal, 75 pg/mL. Medical registrar examined mrs.Smith and adviced to give a stat dose of iv Augmentin 1.2 gm because of the elevated CRP. Confirmed with mrs.Smith that she is not allergic with any medication. Doctor adviced to
Immediate Actions of the Medcial Assistant: With a open wound that is bleeding a medical assistant can try and control the bleeding. Remove any obvious dirt or debris from the wound. Don 't remove large or deeply embedded objects. Don 't probe the wound or attempt to clean it yet. The first thing to do is to stop the bleeding until the EMS arive.
What are the primary pieces of evidence from the CBC that point to this diagnosis? Anemia is a condition that develops when a person’s blood lacks enough healthy RBC or hemoglobin. The effect is an insufficient amount of oxygen to the tissues. In Harold’s case, the main parts of evidence from the CBC include the low RBC, hemoglobin, and hematocrit.
Leukocytosis; the blood contains to many white cells (infection causes an increase of white blood cells) 6. Sideropenia is when the body doesn’t have enough iron. 7. Hemothorax is when blood occurs in the pleural cavity. 8.
However this test has a low sensitivity where some individuals with low result would be considered to be deficient but show no clinical evidence of deficiency and conversely symptoms of deficiency can be seem when the result does not fall into the low range. There is a large ‘grey zone’ or ‘indeterminate range’ between normal and abnormal levels. In order to detect vitamin B12 deficiency, a more sensitive and specific screening test is required. Haptocorrin (HC) and transcobalamin (TC) are transport proteins for vitamin B12 . Transport of vitamin B12 to the tissues is brought about by TC.
Vascular disorders might also cause a bleeding. To get an accurate diagnosis, which is crucial for successful treatment, the haemostatic function has to be examined. The information about the haemostatic function can by gained using a number of laboratory tests to assess platelet and coagulation
In this essay I will be talking about hemophilia. Hemophilia is the disease where blood will not clot properly. The disease got its name from two Greek words. The first word was haima, which meant blood, and philia, which meant affection. The most major sign of hemophilia is easy bruising and excessive bleeding.
While advantages of plateletpheresis : are exposure to single donor rather than multiple , so it can easily doing tests for donor and recipient such as HLA type and blood typing . and because platelets separated automatically during donation and usually transfused on same day ,platelets last longer and thus less platelets need to be given to the patient. also repeat the procedure after 72 hour if possible ,and decrease the chance of allo immunization and transfusion transmitted disease .while the disadvantage is , For a unit of apheresis Platelets hospitals paid an average of $535.15 (Bi, 2011)because plateletpheresis is expansive as it involves using a very skillful machine .and time consuming about 2 hours. (KWleong) Bothe pooled platelets and plateletpheresis contain WBC that may cause febrile non hemolytic transfusion reaction and other problems , so leukocyte are reduced before(as filter in Apheresis ) or after storage but not at bedside , to reduce the problems that may lead to platelets