Hematologic & Lymphatic System Chapter 19-20 Hematologic • BONE MARROW – Location • Spongy center of bones – Function • RBCs production • WBC production • Platelets production Hematologic • LIVER – Function: • Manufactures clotting factors • Filter old & damaged RBC’s from circulation Hematologic • SPLEEN – Function • Works with the liver removes old RBC’s from circulation • Stores platelets Hematologic • BLOOD Blood • Function – Transport • Oxygen • Nutrients • Essential substances • Waste products To cells/tissue Away from cells / tissue Blood composition • Plasma • Red blood cells – Erythrocytes • White blood cells – Leukocytes • Platelets – Thrombocytes Plasma • Color – Clear yellow • Contains – Protein • Formed in the – LIVER Red Blood Cells • AKA: – Erythrocytes • Function – Carry O2 to body tissues • Formed – Bone marrow – Erythropoiesis Erythropoiesis • The process of red blood cell formation Tissue hypoxia h RBC production Kidney 3-5 days Bone marrow erythropoietin Hemoglobin • Function – Carry oxygen • Main ingredient – Iron Hemolysis • Hemo = – Blood • Lysis – -breakdown • Breakdown of RBC •Death of a RBC Hemolysis • Life span of RBC – @120 days • Old / damaged cells – Liver filters blood – Iron – saved & reused – Heme bilirubin bile sm. intestine Platelets • AKA – Thrombocytes • Function – Blood clotting • Storage – Spleen Hemostasis • Blood clotting process 5 stages of hemostasis 1. Vessel spasm • Damage to blood vessel • Vessel spasm • Vasoconstriction • i blood flow 5 stages of hemostasis 2. Formation of the platelet plug • Platelets stick to the wall & one another 5 stages of hemostasis 3. Clot formation • Fibrin cements components together 5 stages of hemostasis 4. Clot retraction • Platelets contract – • (Pulls broken walls closer together) Release growth factors tissue repair 5 stages of hemostasis 5. Clot dissolution • Fibrinolysis removes the clot after tissue is repaired Hemostasis • http://www.mhhe.com/biosci/esp/2002_general/Esp/folder_structure/tr/m1/s7/trm1s7_3.h tm Hematologic & Immune System • White Blood Cells White Blood Cell • AKA: – Leukocytes • Leukocytosis – h WBC count • Leukopenia – i WBC count Leukocytes • Can migrate out of the blood vessel other tissue Leukocytes: Neutrophils • Function – Phagocytic • Life span – 10 hours Leukocytes: Eosinophils • Allergic reactions Leukocytes: Basophils • Stress Leukocytes: Monocytes • Monocytes • Macrophages • Phagocytic cells Leukocytes: Lymphocytes • Specific immune response – B lymphocytes • B-cells – T lymphocytes • T-cells B-cells • Production of – Plasma cell • Antibody factories – Memory cell • Future quick response T-cells • T-helper cells – Activate other components of the immune system • T-cytotoxic cells – Directly destroy the invader Immune System • BONE MARROW – Function • WBC production Immune System • THYMUS – Incubator for T-cells – Not needed after puberty Immune System LYMPHATIC SYSTEM • Lymph Fluid – Plasma – WBC • Lymph nodes – Housing for T & B-cells – Filter micro-organism Immune System LIVER • Function – Filter blood – Stores phagocytes Immune System • SPLEEN – Function • Filters blood • Stores Phagocytes Natural immunity • A person’s resistance to foreign substances d/t – Gender – Heredity – Age – Health status Naturally acquired immunity • Resistance acquired by developing the disease Artificially acquired immunity • Resistance develops through immunization Physical Exam • Skin & mucus membranes – Color • Pallor – Anemia • Cyanosis – i Oxygen to tissue – Hypoxia • Jaundice – Yellow – h bilirubin • Jaundice Physical Exam • Skin & mucus membranes – Color • Erythemia – Inflammation • Petechiae – Small red spots caused by a minor hemorrhage – i platelet count • Petechiae Physical Exam • Skin & mucus membranes – Color • • • • • • Pallor Cyanosis Jaundice Erythemia Petechiae Bruising – Ecchymosis • Ecchymosis Physical Exam • Skin & Mucus Membranes – Temperature – Capillary refill – Edema • Lymph nodes • Palpate abd for tenderness Physical Exam • Vital signs – Temp • h – Infection / bacterial • i – Infection viral – Anemia – Apical pulse – Pedal pulse Dx Tests Complete Blood Count (CBC) • RBC count • Hemoglobin • Hematocrit Red Blood Cell Count: RBC count • Men – 4.6- 6.0 million /mm3 • Women – 4.0 – 5.0 million / mm3 • Magic number –5 RBC count Elevated Decreased • COPD • Hemorrhage • Anemia • Kidney disease Hemoglobin: Hgb • Men – 13.5 – 18 g/dL • Women – 12-15 g /dL • Magic Number – 15 Hemoglobin Elevated Decreased • COPD • Hemorrhaging • Kidney failure • Nutritional deficit Hematocrit • Men – 40 – 54% • Female – 36 – 46% • Magic Number – 45 Hematocrit Elevated Decreased • COPD • Dehydration • Anemia • Kidney failure • Nutritional deficiency Prothrombin time: PT or Protime Partial thromboplastin time: PTT • Clotting time – h • Risk of hemorrhaging – i • Risk of blood clots / thrombi Anemia • Definition – i Red blood cells Anemia: S&S • i Oxygen-carrying capacity • Respiratory – Tachypnea – Dyspnea Anemia: S&S • i Oxygen-carrying capacity • C/V – Tachycardia – Palpitations – Angina Anemia: S&S • i Oxygen-carrying capacity • Neurological – – – – H/A Fatigue i Concentration Dizzy Anemia: S&S • i Oxygen-carrying capacity • Integumentary – pallor Anemia: S&S • i Oxygen-carrying capacity • M/S – Leg cramps – Bone pain – Weakness Anemia • Causes – Blood loss – Nutritional – Hemolytic – Aplastic Blood Loss Anemia • Cause – Hemorrhaging Nutritional Deficit Anemias • D/T lack nutrient – Iron – Vitamin B12 – Folic Acid Iron Deficiency Anemia • Iron is a necessary component of – Hemoglobin • Specific S&S – Pica • Craving to eat unusual substances Vitamin B12 Deficiency Anemia • AKA – Pernicious Anemia • Specific S&S – Paresthesia Folic Acid Deficiency Anemia • Required for normal production and maturation of RBCs Hemolytic Anemias • Premature destruction of RBC Sickle Cell • Genetically transmitted • Abnormal hemoglobin Anemia i O2 Hemolysis Damaged RBC RBC stress Blocks sm vessels RBC Sickles Sickle cells clump S&S of sickle Cell Anemia • Pain –hands and feet • Vision problems • Jaundice • Increased risk: –Infections –Stroke Aplastic Anemia • Bone marrow does not make enough RBCs IDT Care: Anemia • Dx Tests – CBC – Iron levels IDT Care: Anemia • Medications – Iron – Vitamin B12 – Folic Acid IDT Care: Anemia • Dietary – Iron • Meat • Beans • Green veg – Folic Acid • Green Veg • Beans – B12 • Meat • Fish • Milk IDT Care: Anemia • Blood Transfusions Leukemia • Malignant disorders of WBC’s In Leukemia… • Normally the ratio of RBC:WBC – 3:1 • In leukemia the ratio changes – >WBC’s Pathophysiology • • • • • • • • Stem cell mutates Proliferation NON-function WBC’s Fill bone marrow Spill into blood Crowd out RBC’s & Platelets Anemia, Infection & bleeding Death Leukemia: etiology • Unknown Leukemia: S&S • Anemia • Infection • Bleeding Leukemia: S&S • Anemia – – – – Pallor Fatigue Tachycardia Dyspnea Leukemia: S&S • Infections – – – – – Fever Skin infections Respiratory infections UTI Septicemia Leukemia: S&S • Bleeding – Bruising • Ecchymosis Leukemia: S&S • Bleeding – Bruising • Ecchymosis – Petechiae Leukemia: S&S • Bleeding – Bruising • Ecchymosis – Petechiae – Occult stool Leukemia: S&S • Bleeding – Bruising • Ecchymosis – – – – Petechiae Occult stool Tarry stool Coffee ground emesis Leukemia: Dx • CBC • WBC w/ differential Leukemia: Tx • Chemotherapy – Destroy leukemic cells • Radiation therapy – Use to shrink • Bone Marrow Transplants • Stem cell transplant Clients with HIV • Page 249-260 HIV pathophysiology • Mode of transmission – Direct person to person through sex – Direct injection with contaminated blood, blood products or needles – Mother to fetus Manifestations of HIV • 3 stages: – Primary infection – Asymptomatic period – AIDS & opportunistic disorders HIV: Primary infection • • • • • • • • Fever Sore throat General malaise/fatigue H/A Rash N&V Night sweats Wt loss HIV: Asymptomatic period • Chronic – @ 10 years HIV: AIDS & Opportunistic disorders • Respiratory – Pneumocystis carinii pneumonia • Gastrointestinal – wasting syndrome • Integumentary – Kaposi's Sarcoma Small group questions 1. 2. 3. 4. 5. Identify 3 major S&S of leukemia. What lab results indicate leukemia? How are HIV and AIDS related? What are the three phases of HIV infection? How can you protect yourself as a nurse while caring for a client with end stage HIV infection?