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Ch. 17 Blood
Hoehn - Marieb Human Anatomy & Physiology, 12th edition
Hoehn, Haynes, Abbott12th EditionMarieb Human Anatomy & PhysiologyISBN: 9780138242732Non è quello che usi tu?Cambia libro di testo
Capitolo 17, Problema 24

Cancer patients being treated with chemotherapeutic drugs designed to destroy rapidly dividing cells are monitored closely for changes in their red and white blood counts. Why so?

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Understand that chemotherapeutic drugs target rapidly dividing cells, which include not only cancer cells but also some normal cells in the body.
Recognize that red blood cells (RBCs) and white blood cells (WBCs) originate from rapidly dividing precursor cells in the bone marrow.
Explain that chemotherapy can damage the bone marrow's ability to produce these blood cells, leading to decreased RBC and WBC counts.
Identify the clinical significance: a drop in RBC count can cause anemia, leading to fatigue and weakness, while a drop in WBC count can weaken the immune system, increasing infection risk.
Conclude that monitoring blood counts helps healthcare providers adjust chemotherapy doses and manage side effects to maintain patient safety.

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Chemotherapy and Rapidly Dividing Cells

Chemotherapy targets cells that divide quickly, such as cancer cells, but it also affects normal rapidly dividing cells like those in bone marrow. This non-selective action can lead to side effects by damaging healthy cells responsible for blood cell production.
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Organization of DNA in the Cell

Bone Marrow Function and Blood Cell Production

Bone marrow is the primary site for producing red blood cells (RBCs) and white blood cells (WBCs). Damage to bone marrow from chemotherapy can reduce the production of these cells, leading to anemia and weakened immune response.
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Bone Marrow

Monitoring Blood Counts During Chemotherapy

Regular monitoring of red and white blood cell counts helps detect bone marrow suppression early. This allows clinicians to adjust treatment to prevent complications like infection, fatigue, or bleeding due to low blood cell levels.
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Functions of Blood
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Define hemostasis

List the three major phases of coagulation. Explain what initiates each phase and what the phase accomplishes

In what general way do the intrinsic and extrinsic mechanisms of clotting differ?

Which ion is essential to virtually all stages of coagulation?

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A reticulocyte count indicated that 5% of Tyler's red blood cells were reticulocytes. His blood test also indicated he had polycythemia and a hematocrit of 65%. Explain the connection between these three facts.

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Alan Forsythe, a middle-aged college professor from Boston, is in the Swiss Alps studying astronomy during his sabbatical leave. He has been there for two days and plans to stay the entire year. However, he notices that he is short of breath when he walks up steps and tires easily with any physical activity. His symptoms gradually disappear, and he feels fine after less than a month. Upon returning to the United States, he has a complete physical exam and is told that his erythrocyte count is higher than normal.

a. Attempt to explain this finding.

b. Will his RBC count remain at this higher-than-normal level? Why or why not?

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Amanda Healy, a young woman with severe vaginal bleeding, is admitted to the emergency room. She is three months pregnant, and the physician is concerned about the volume of blood she is losing.

What type of transfusion will probably be given to this patient?

Which blood tests will be performed before starting the transfusion?

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Mr. Chu has been scheduled for surgery to have his arthritic hip replaced. His surgeon tells him he must switch from aspirin to acetaminophen for pain control before his surgery. Why?

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Discuss hemoglobin relative to its chemical structure, its function, and the color changes it undergoes during loading and unloading of oxygen.

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