Chapter 30 Nursing Assessment Hematologic System Copyright 2007

Structures and Functions of the Hematologic System Bone marrow Blood Plasma Ø Blood cells

Fig. 30 -1 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of

Fig. 30 -2 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of

Structures and Functions of the Hematologic System (cont'd) Normal iron metabolism Normal clotting mechanisms

Fig. 30 -4 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of

Fig. 30 -5 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of

Fig. 30 -6 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of

Structures and Functions of the Hematologic System (cont'd) Spleen Lymph system Liver Copyright ©

Fig. 30 -7 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of

Gerontologic Considerations Effects of Aging on the Hematologic System Copyright © 2007, 2004, 2000,

Assessment of the Hematologic System Subjective data Ø Important health information • Past health

Assessment of the Hematologic System (cont'd) Ø Functional health patterns • • • Health

Assessment of the Hematologic System (cont'd) Objective data Ø Physical examination • • •

Fig. 30 -8 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of

Diagnostic Studies of the Hematologic System Laboratory studies Complete blood count • Red blood

Diagnostic Studies of the Hematologic System (cont'd) Radiologic studies Biopsies Bone marrow examination Ø

Fig. 30 -9 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of

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Structures and Functions of the Hematologic System Bone marrow Blood Plasma Ø Blood cells Ø • • • Erythrocytes Leukocytes Granulocytes Lymphocytes Monocytes Thrombocytes Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Structures and Functions of the Hematologic System (cont'd) Normal iron metabolism Normal clotting mechanisms Vascular response Ø Platelet plug formation Ø Plasma clotting factors Ø Lysis of clot Ø Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Assessment of the Hematologic System Subjective data Ø Important health information • Past health history • Medications • Surgery or other treatments Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Assessment of the Hematologic System (cont'd) Ø Functional health patterns • • • Health Perception–Health Management Nutritional-Metabolic Pattern Elimination Pattern Activity-Exercise Pattern Sleep-Rest Pattern Cognitive-Perceptual Pattern Self-Perception–Self-Concept Pattern Role-Relationship Pattern Sexuality-Reproductive Pattern Coping–Stress Tolerance Pattern Value-Belief Pattern Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Assessment of the Hematologic System (cont'd) Objective data Ø Physical examination • • • Lymph node assessment Palpation of the liver or spleen Skin assessment Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Diagnostic Studies of the Hematologic System Laboratory studies Complete blood count • Red blood cells • White blood cells • Platelet count Ø Erythrocyte sedimentation rate Ø Blood typing and Rh factor Ø Iron metabolism Ø Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Diagnostic Studies of the Hematologic System (cont'd) Radiologic studies Biopsies Bone marrow examination Ø Lymph node biopsy Ø Molecular cytogenetics and gene analysis Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.