This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient has two bands on alkaline hemoglobin electrophoresis. One lines up with Hb A and the other ... (Read 120 times)

fasfsadfdsfa

  • Hero Member
  • *****
  • Posts: 554
on: Jun 25, 2018
A patient has two bands on alkaline hemoglobin electrophoresis. One lines up with Hb A and the other is in the S position. Select the best course of action.
 
  a. Report as normal
  b. Report as sickle trait
  c. Report as sickle disease
  d. Confirm sickle gene with tube solubility test

Question 2

All of the following improve the clinical outcome of sickle cell anemia (Hb SS) except which of the following
 
  a. Aggressive prevention and treatment of infection
  b. Presence of Hb F
  c. Transfusions during crises
  d. Keeping the oxygen saturation low


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

iman

  • Sr. Member
  • ****
  • Posts: 334
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: D
Other abnormal hemoglobins migrate with Hb S on alkaline hemoglobin electrophoresis; Hb D is an example. However, these hemoglobins are not sickling hemoglobins. Therefore a positive tube solubility test would confirm that the hemoglobin in the S position is Hb S.

Answer to Question 2

ANS: D
Hb S forms insoluble polymers when the oxygen saturation is low. Thus this would precipitate sickling, not improve the outcome of sickle cell anemia. All the other therapies mentioned have been shown to be clinically helpful.


fasfsadfdsfa

  • Member
  • Posts: 554
Reply 2 on: Jun 25, 2018
Wow, this really help

vickybb89

  • Member
  • Posts: 347
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

Aspirin may benefit 11 different cancers, including those of the colon, pancreas, lungs, prostate, breasts, and leukemia.

Did you know?

Cyanide works by making the human body unable to use oxygen.

Did you know?

The most dangerous mercury compound, dimethyl mercury, is so toxic that even a few microliters spilled on the skin can cause death. Mercury has been shown to accumulate in higher amounts in the following types of fish than other types: swordfish, shark, mackerel, tilefish, crab, and tuna.

Did you know?

Barbituric acid, the base material of barbiturates, was first synthesized in 1863 by Adolph von Bayer. His company later went on to synthesize aspirin for the first time, and Bayer aspirin is still a popular brand today.

Did you know?

Prostaglandins were first isolated from human semen in Sweden in the 1930s. They were so named because the researcher thought that they came from the prostate gland. In fact, prostaglandins exist and are synthesized in almost every cell of the body.

All messages must be documented and placed in the patient's chart. All messages must be documented and placed in the patient's chart.
Instructing the Patient in Collecting a Stool Specimen Instructing the Patient in Collecting a Stool Specimen
An ultrasound being performed on a patient. An ultrasound being performed on a patient.
Indirect enzyme immunoassay. A patient's antibody reacts with the antigen, which is detected ... Indirect enzyme immunoassay. A patient's antibody reacts with the antigen, which is detected ...
Patient Physical Status Classification Patient Physical Status Classification
Variations in patient response to drugs Variations in patient response to drugs
Video: baroreceptors

For a complete list of videos, visit our video library