Professional Documents
Culture Documents
(Ebook PDF) Clinical Hematology: Theory & Procedures 6th Edition Download
(Ebook PDF) Clinical Hematology: Theory & Procedures 6th Edition Download
https://ebooksecure.com/download/clinical-hematology-atlas-ebook-
pdf/
http://ebooksecure.com/product/ebook-pdf-medical-assisting-
administrative-and-clinical-procedures-6th-edition/
http://ebooksecure.com/product/medical-assisting-administrative-
and-clinical-procedures-6th-edition-by-kathryn-booth-ebook-pdf/
http://ebooksecure.com/product/ebook-pdf-clinical-procedures-for-
medical-assistants-10th-edition/
Essential Clinical Procedures 4th Edition Richard Dehn
- eBook PDF
https://ebooksecure.com/download/essential-clinical-procedures-
ebook-pdf/
https://ebooksecure.com/download/rodaks-hematology-clinical-
principles-and-applications-ebook-pdf/
http://ebooksecure.com/product/ebook-pdf-linne-ringsruds-
clinical-laboratory-science-concepts-procedures-and-clinical-
applications-8th-edition/
https://ebooksecure.com/download/clinical-procedures-for-ocular-
examination-ebook-pdf/
http://ebooksecure.com/product/ebook-pdf-behavior-modification-
principles-and-procedures-6th-edition/
PAR T P H m
P REFACE
T m
x
m
Clinical Hematology
(ML )
m - m
- .T
m
.
x k
-
m (MLS)
-
m . Clinical HE AUDIENCE
Hematology m “ ”
ML MLS , , Clinical Hematology, x , m
m .P m- m (MLS)
m ’ m (ML )
m .S m - k. ML m
Clinical Hematology, - k m. O
x m k m k
- m .
m .
Clinical Hematology m k -
mm WHA ’S NEW IN GENERAL OVERALL
ASCLS E L C m ASCLS P FEA URES OF HE SIX H EDI ION
B K m m , m HA FACILI A E MORE EFFEC IVE
, m .I , LEARNING?
ASCP B C Ex m C
G &O M L , ■ More Full Color Images
ML (ASCP), ASCP B C Ex m , ,
C G & O M L .
S , MLS(ASCP), ■ More Visual Learning Content m
m . ’ m .
B mm m - ■ Additional Algorithms
, x x x - m ( , , x ) k
m Nx G Sq .
(NGS) m m . ■ Expanded Basic and Advanced Outcomes c
M m m ML MLS k
k m .
m m ’m - ■ Bulleted Chapter Highlights q k
“ .” ’m .
T Clinical Hematology ■ Revised In ext Learning Aids (C H
q m k - R Q ) m j
.S m k m .
LWW - , P , m ■ Numerous Updated End o Chapter Certif cation Style
q m Review Questions k
xm x . .
Clinical Hematology ■ More than 70 Case Studies , -
m m , , k q
m x m m .E kk , ,
z .
- - m m ■ Dedicated Lab Manual Chapter - -
, , ,
mm m , , k - m m
, k m . k m .
H - m q ■ Key erms Italicized in the ext and De ined in
Clinical Hematology m the Glossary m
, , m m .
vii
viii Preface
■ Ex L , mm
PART VI: Neoplastic Disorders (Chapters 20–24) , ,
m (APS)
■ Ex m
■ U
■ A x m m
■ I x W H O z
(WHO) C R
■ A k m
PART VIII: Fundam e ntals o f He m ato lo g ical
k m (AML) Analys is (Chapte rs 29–32)
■ Ex m m k m ■ A m —
(AML) ■ A m — m
■ U ■ N m
■ P m k m (AML) ■ R m RBC
■ A mx
■ A m k m
(ALL)
■ U x k m
m m
CHAP ER S RUC URE AND FEA URES
■ N m k m (CLL) m E Clinical Hematology
■ N m B- m (MLD), m x:
B- m k m (PLL ), - m-
k m , Séz m , - ■ Learning outcomes
m k m , - k m / m m q k .
■ Ex m m -H k ’ ■ Multiple ull color images and visual learning aids
m m , , , m m x
■ N x k m -H k ’ .
m m ■ Case studies m m
■ Ex B k ’ m m - .
■ U m m m m ■ Procedure boxes - - m k
■ A m m .
■ C k m ■ Key terms m z m -
m k m z - - k .
■ C k m PDGFRA- ■ Chapter highlights q k m
k m .
k m , (CEL-NOS) ■ Review questions ’
■ M k .
■ M N m, U (MPN-U)
■ S MDS , m
MDS/MPN m - ADDI IONAL RESOURCES
, RARS- . RARS-
( m m - Clinical Hematology
) WHO m
H m Lm k’ m W :// P . . m/
■ I m .
x Preface
Mary L. urgeon
St. Petersburg, Florida
x PAR T P H m
CON TEN TS
4 H m ............................... 8 L k :T G
O H m M S ...........................
H m O I
S Lm G S :P N ,E ,
C E m B M B
H m S mC G S D m M
C k D N ,E , B
Ex m M B C N m M C G
xi
xii Contents
26 D P m H m T m 30 I m H m ..............
V P ..................... I m P
V A m W B C A
Q P D A I m D O
Q C P :T m / L
T m m A F C m
I Ch a pt er High l igh t s 522 D M
I Ca se St udy 523 I m C S
I Review Quest ions 524 I Ch a pt er High l igh t s 641
I Bibl io gr a ph y 524 I Ca se St udies 643
I Review Quest ions 650
27 P H m T m : I Bibl io gr a ph y 652
B C F N
31 M D q
C S m ..........................
A ...............................
B C F
N m P M m T m T H m G m P j
M V H m M q H m
I Ch a pt er High l igh t s 545 M G H m
I Review Quest ions 546 C S mm
I Review Quest ions 667
I Bibl io gr a ph y 548
I Bibl io gr a ph y 668
28 D H m T m :B
32 L M :M P
C F ,H S ,
H m ................................
A T ......................
P F m
I I Review Quest ions 699
D P
D D C m
T H (T m ) APPENDICES
A T A A R Q ................
I Ch a pt er High l igh t s 577
I Ca se St udies 579 B F q U A ...............
I Review Quest ions 580
I Bibl io gr a ph y 581
C S D S ...........................
D G BD . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PART EIGHT E G G .........................
Fundamentals of Hematological Analysis 583 F I k ................................
29 B F A ......................... G T M ............................
I H Q kR ...........................
C F
P ,P , P F
Glossary 727
I Ch a pt er High l igh t s 610
I Ca se St udies 611 Index 743
I Review Quest ions 611
I Bibl io gr a ph y 617
PA RT O N E
Hematology Basics
KEY TERMS
LEARNING OUTCOMES
An ove rvie w o f the he m ato lo gy labo rato ry ■ Explain the purpose and correct procedure of handwashing.
■ Explain the role of the hematology laboratory staff in providing qual- ■ Describe the contents of the laboratory procedures manual.
ity patient care. ■ Given a Safety Data Sheet, identify critical information.
■ List ve basic functions of the hematology laboratory. Quality as s e s s m e nt and quality co ntro l in the
Patie nt s afe ty he m ato lo gy labo rato ry
■ Name and describe the Institute of Medicine’s six goals for health ■ Summarize the essential nonanalytical factors in quality assessment.
care delivery to improve the quality of American healthcare. ■ Explain the delta check as a quality control method.
■ Name and explain goal areas cited by the Joint Commission that ■ De ne terms used in quality control and basic statistical terms.
have speci c applications for the clinical laboratory. ■ De ne accuracy, precision, control material, mean, and standard
deviation.
S afe ty fo r labo rato ry pe rs o nne l ■ Given the appropriate data, calculate the mean and standard devia-
■ Explain the basic techniques for safety in the hematology tion and create a quality control chart.
laboratory. Describe the basic terms and state the formulas for the standard
■ Explain the basic techniques in the prevention of disease deviation, coef cient of variation, and z score.
transmission. Describe the use of a Levey-Jennings quality control chart.
■ Compare the features of general safety regulations governing the Compare three types of changes that can be observed in a quality
clinical laboratory, including components of the Occupational Safety control chart.
and Health Administration (OSHA)–mandated plans for chemical Assess the most frequent application of a histogram.
hygiene and for occupational exposure to bloodborne pathogens, Appraise the Westgard Rules and use of the Multirule Procedure
and the importance of the laboratory safety manual.
■ List and describe the basic aspects of infection control policies and
NOTE:
practices, including how and when to use personal protective equip- ■ indicates MLT and MLS core content
ment or devices (e.g., gowns, gloves, goggles), and the reasons for
indicates MLT (optional) and MLS advanced content
using standard precautions.
1
2 PART 1 ■ Hematology Basics
m m m - m m ( . .,
m . ). T k
m x m
, -
■ Am x
human immunode ciency virus (HIV),
■ L m
.S
■ Am ’
m k
m x
■ P k
.
x k k
T HIV- m
CDC m OSHA. C Ex HIV mm ,
m k
CDC , “R mm - k m . HIV -
P HIV m H -C S ” m .S m m
(MMWR, S S, ) q . m HIV.
T E m
x k - ,
m . OSHA m m : m . HIV m
m m m
■ E k -
m k q m m
m .
■ P q m , x m ,
T m HIV x
m k ,
■ M m
.T q mm -
m (AIDS) HIV U S
Occu p a t io n a l Exp o s u re Re la te d to HIV, HBV, a n d
CDC. S
HCV Tra n s m is s io n
HIV/AIDS m , k
B m q m m HIV. T m
HIV HBV x . x HIV-
j ( . ., m , m ,
Occu p a tio n a l Exp o s u re k k , .). O m
A . , xm , HIV k x m .
k j US N m HIV m -
.T N kP S A k .
( C ) m U CDC , ,
m j - , .H k
xm , . x HIV- k . % k
A x m .I , ,
j , x m , k j , j , , .
m m m k ( T k m HBV C (HCV)
k , , m - m x k
), x HIV m .T k x -
, , - , HBV -
, . HBV mm
Am m - k HBV. B ,
q HIV , B %. A
x m mm .C m B
j k .R k m , k-
m HBV
x .
■ A j
HBV x -
■ L - HIV
. HBV m
■ V j
°C .T k HBV
■ I j
m % %
’
. I HB ,
T m m HIV k . % %; I HB ,
q k m k . % %).
CHAPTER 1 ■ Safety Practices and Quality in the Hematology Laboratory 5
.A k j m -
.
Blo o d -b o rn e Viru s Po s te xp o s u re Is s u e s
A m m k
HIV m
x , x m m
. T CDC
m m x
HIV mm x (PEP).
(U U.S. P H S G
M m O Ex HBV, HCV,
HIV R mm P x P x ,
MMWR, [RR- ], ).
FIGURE 1.1 P - . (C A x
B D k ,F k L k ,N J .) m m x m -
m .I x ,
T C m m m
HIV HBV. Ex k m .B k m
x .T k HCV , k
k . %. , .I “ ”
, k
S h a rp s Pre ve n tio n .L
T m m q OSHA ’
CLSI - m .
(F . . ). T m I k x k ,
■ C , - , k m q - m
m HIV .T m -
■ A ,m , m .I
■ L CFR . ( ) m ,
( )( ) m /
■ C z m mm .T
■ L - , x .A j
m CFR . ( ) m x .
( )( )(C). R m
CFR . ( )( )( )(E) Im m une S tatus : S cre e ning and Vaccinatio n
T m m- S m -
q HBV. B
k m. S - B , -
- k B.
. P m m
P m , - - mm -
.N B. I HBV
j m .U m , . OSHA -
m q k m m
m B m m
m .T mm - x
, , k , m .T x
m . m , m , -
M k mm .
m .I j A - m m mm z
k m m m m -
, , m z ’ m. T k
.M - x m m HBV m
m . m mz -
, z m .
6 PART 1 ■ Hematology Basics
.I q m -
BOX 1.3 , k
.
■ W m m
Guide line s fo r Handw as hing and Hand , m , mL
Antis e ps is in He althcare S e tting s ,
. W m ,
m .R m
m m . .U .
. U - -
m , . Pe rs o nal Pro te ctive Equipm e nt
. W , OSHA q
m m - q m (PPE) m. T m -
m . :
. D m ’
k . ■ A k z m z
. D m
. ■ P q m
. D m m m m ■ Em m , m -
.
. D m m ■ R m k z
j mm . L
. D m m . PPE m z .T
PPE m -
M m C D C P , U.S. .A q
D m H H m S . G H
H H S , MMWR Morb Mortal Wkly Rep, .F , PPE
(RR- ): , . .I m -
, .
S e le ct io n a n d Us e o f Glove s
, k % % % G m k
% x . m x. T
H mm x
k , , .I - . E m
k , m -
m mm .I .L x-
m x m .I m -
k k , m , x- .
q , , : C m k m
% .T k j k .G
k m m ( F . . ).
q . A m q
I CDC , , q m ,
: k .
T m
■ A m k
:
.
■ B , k , m k , ■ M m k k
.
■ M m
m
■ S
q :
■ M m
■ W m
( . ., - ), Fa cia l Ba rrie r Pro te ct io n a n d Occlu s ive Ba n d a ge s
m , F ( )
, .F
m ’ mm m .M k m
8 PART 1 ■ Hematology Basics
FIGURE 1.2 G m . A. T
. B. T , ,
. C. W
, -
m
x . D. T
, x -
x . E. C m
. (R m M C
RE, k CM. Phlebotomy Essentials,
, B m , MD: L W m
&W k , : , m .)
m m - .L
.A x k m .
-m m .T
m, , k. Shoes
A CLSI m GP -A ,
La b o ra to ry Co a t s o r Gow n s a s Ba rrie r Pro te ct io n m
A - , – q m - .U
k- , mm . F -
m .T m m m , x m , ,
m - mm .
m mm k .
C mm m- Ele ct ro n ic De vice s
, E , x m ,m ,I , MP
k .C m , m , x
z m .
.
D .C De co ntam inatio n o f Wo rk S urface s ,
z .
Equipm e nt, and S pills
Na il Ca re A k z
A CDC, m , :
q ( . ) EPA- .
CHAPTER 1 ■ Safety Practices and Quality in the Hematology Laboratory 9
Vo lum e o f Ble ach Vo lum e o f H2 O Ratio % S o dium Hypo chlo rite % S o lutio n
1 mL 9 mL 1:10 0.5 10
Note: A 10% solution of bleach is stable for 1 week at room temperature when diluted with tap water.
19 août.
«Ma chérie, c’est l’assortiment d’une artiste! Il y a des coups de génie
dans ton choix!...
«Le gros rouge à houppe, celui qui est soufre, et le tout petit blanc
mouflu, me donneront des heures d’insomnie... Comment décider entre
eux?
«Je les mets, je les change, je les remets: ramassés et découvrant tous les
cheveux, très enfoncés et posés de côté, comme les portraits de Masaniello
enfant... Tout est joli! J’ai fini par danser autour, tant c’était amusant, ce
déballage...
«Il y a encore le petit rayé bleu et blanc! On voudrait avoir deux têtes,
pour ne pas le sacrifier si on en choisit un autre!...
«Tout bien pesé, je crois que je mettrai le rouge. Un peu plissoté et le
pompon libre. Mes cheveux bouclés tout autour de la tête, et une chemisette
écrue. Une rude chemisette de paysanne en batiste bise.
«Ni entre-deux, ni dentelle: un coulissé.
«Pas facile à supporter, le demi-décolleté en rond, tout sec au bord; mais
d’autant plus joli quand on le peut.
«Vois-tu ça?
«Comment! tu ne connais pas Le Tréport? Je croyais que tu y étais il y a
deux ans.
«Non, ce n’est ni Trouville, ni Deauville; mais c’est élégant déjà, et la
vie y est fort gaie.
«Beaucoup de toilettes, très amusantes à regarder, avec ces fantaisies, et
ces audaces qu’on n’oserait jamais à Paris.
«Une belle inconnue qui circule beaucoup, à pied, à bicyclette, en bateau
et en voiture, fait notre bonheur dans ce genre.
«—Quelle robe a Nadèje aujourd’hui? se demande-t-on quand on se
rencontre...—C’est son surnom parmi nous.—Et le fait est que depuis que
nous sommes ici, Nadèje ne nous a jamais fait la traîtrise de remettre celle
de la veille.
«Moi je change de robe après le bain, et je me rhabille pour dîner; c’est
tout.
«C’est exquis, tu ne trouves pas? ces deux ou trois mois de l’année, où
l’existence est au rebours de toutes les habitudes de toujours; où on
s’occupe uniquement à s’amuser; où on danse tous les soirs, où on dîne, où
on déjeune sur l’herbe?...
«Au quart de ça, à Paris, maman commencerait à refuser les invitations.
«Je ne danserais pas tous les cotillons. Je ne souperais jamais.
«Ici, c’est si court et si restreint! On insiste, elle cède, et je reste.