Chapter 9, Problem 16R

V 7:19 assignment 1.pdf A 10-month-old Central American child was referred to the laboratory for testing after being seen by a pediatrician. The phlebotomist noted that the child was very pale and listless. The laboratory tests results: Hb 5.6 g/dl Hct 24% RBC 3.5 X 109/L WBC 10.5 X109/L MCV 68.6fL 16pg 23g/dl 200 X 109/L МСН МСНС Platelet count Reticulocyte count TIBC 0.5% 465 µg/dl 40 ug/dl 0.9 mg/dl Serum iron Total serum bilirubin Saturation of transferrin 8.6% The blood film for this patient was showed like the following 1. What category of anemia is suggested by the morphology of the RBCS on the peripheral blood smear? 2. What laboratory assays would be of additional value in establishing the diagnosis? 3. What is the most probable cause of the patient's anemia? 4. How can these conditions affect the hematopoietic system? 5. How would you describe his anemia morphologically? 6. Do this patient laboratory test results and clinical history indicate that a bone marrow examination is…

Patient # anti Rh 1 2 + 3 + 4 5 6 + + + Using information from the table above, match the blood type for each patient: Patient 1 Patient 3 Patient 4 Patient 6 Patient 5 Patient 2 anti A + + anti B + + AB+ O- B+ A- AB- B- A+ O+ I

Hemodynamic Monitoring Case Study: A 67-y.o woman is admitted to the ICU with a dx. of hypotension of unknown origin. She is presently unresponsive but is breathing spontaneously on her own. Lungs are clear, urinary output is 15ml in 8 hours, and her skin is cool. A PA catheter is inserted to obtain more information and guide therapy. The following information is revealed: BP 86/54mmHg           PAWP 4mmHgP 118/min           CVP 2mm/HgRR 30 breaths/min       SVR 1393 dynesC.O. 3.5 L/min           PVR 195 dynesC.I. 1.9 L/min           SvO2 50%PA 24/10mmHg Which Values tell us about this patient's filling pressures/fluid status? Are these values adequate? Which Values tell us about this patient's contractility? Are these values adequate? Which values tell us about this patient’s vascular resistance? What is causing this patient's hypotension? Which initial therapy is appropriate?