Clinical Symptoms
...tible. # Stop, Think, and Respond (not on hand out) When you go to the hospital’s blood bank to obtain a unit of blood for a client with blood type A, Rh positive blood, you receive a unit of blood that is blood type A, Rh negative. Is this unit of blood compatible? The unit of blood is compatible. A client with type A, Rh positive blood can receive type A or type O, Rh negative blood. Type A, Rh positive blood is exactly that same as the client’s blood type. Because Rh negative blood does not contain Rh protein, however, the client is not at risk for an incompatibility reaction. #4 Review Lymphatic System Lymph Lymph Nodes Thymus Spleen (stores blood, forms lymphocytes, monocytes, and plasma cells, destroy worn out RBC, remove bacteria What is the function of the lymphatic system? The lymphatic system filters and destroys pathogens and removes other potentially harmful substances. The lymphatic system includes the thymus gland, spleen, and a network of lymphatic vessels, lymph nodes, and lymph. Lymph is fluid that flows through the lymph nodes. As lymph passes through the node, macrophages attack and engulf foreign substances like bacteria and viruses, abnormal body cells, and other debris. Lymph nodes are glandular tissue along the lymphatic network, are clustered in the axilla, groin, neck, and large vessels of the thorax and abdomen. Thymus gland is lymphatic tissue in the upper chest. Spleen is the largest lymphatic structure. It lies in the abdomen beneath the diaphragm and behind the stomach. The spleen is a reservoir of blood and contains phagocytes that engulf damaged erythrocytes and foreign substances. Show picture on page 518 #5 Anemia Insufficient delivery of oxygen to tissue and cells Usually there is a decrease in: RBC Hemogloblin Hematocrit Increase in RBC destruction Anemia is a term that refers to a deficiency of either erythrocytes or hemogloblin. #6 Common Nursing Diagnoses Tissue perfusion, altered cardiovascular, related to reduction of cellular componens necessary for delivery of oxygen to the cells Gas exchange, impaired related to RBC, hemogloblin, and hematocrit deficit Activity intolerance, related to O2 deficit; secondary to decreased hemoglobin and hematocrit #7 Hypovolemic Anemia Due to blood loss, 1000cc or more can be severe in adult, Surgical procedure, GI bleed, Menorrhagia, Trauma Severe burns #8 Normal blood volume 6000 ml Can tolerate 500 cc loss When around 1000cc serious complications can occur (shock) Rate of loss affects tolerance. Rapid loss harder for body to compensate #9 Symptoms similar to hypovole...