Nurses have a pivotal role in the early identification and management of the patient with ventriculitis. Index 407 “
“Mary Lou Warren and Melissa McLenon Jacqueline B. Broadway-Duren and Hillary Klaassen Anemias continue to present a challenge to the health care profession. Anemia is defined as a reduction in one or more of the RBC indices. Patients presenting with a mild form of anemia may be asymptomatic; however, in

more serious cases the anemia can become life threatening. In many cases the clinical presentation also reflects the underlying cause. Anemia may be attributed to various causes, whereas autoimmune RBC destruction may be attributed to intrinsic and extrinsic factors. Laboratory tests are essential in facilitating early detection and differentiation of anemia. Edythe M. (Lyn) Greenberg and Elizabeth S. (Sue) Kaled Thrombocytopenia is Selleck OSI-906 defined as a platelet count less than 150,000/μL. It can be the result of decreased platelet production, sequestration of the

platelets, or increased destruction of the platelets. The clinical presentation may vary from an incidental finding to obvious bleeding. Causes of thrombocytopenia include infections, malignancy, liver disease, autoimmune disorders, disseminated intravascular coagulation, pregnancy, medications, and coagulation disorders. Treatment is determined by the underlying cause of the thrombocytopenia. This article discusses the evaluation and management of common causes of thrombocytopenia. Carole L. Mackavey and Robert Hanks

Coagulopathy-related bleeding events are a major concern in the management of LGK-974 mouse acute and chronic liver disease. The liver attempts to maintain a balance between procoagulant and anticoagulant factors, and providers struggle with poor prognostic indicators to manage bleeding and critical complications. Subtle changes in patient presentation that may require extensive provider-directed interventions, such as blood transfusions, intravenous fluid management, mitigating possible sepsis, and evaluating appropriate pharmacologic treatment, are discussed. Jennifer K. Johnson and Elizabeth Sorensen Lymphoma presents itself from slow growing and asymptomatic to aggressive and destructive. Suspicion of aggressive lymphoma warrants prompt diagnostic evaluation because the tumor can be extremely fast growing and can cause significant Mannose-binding protein-associated serine protease sequelae including but not limited to tissue damage, immune suppression, organ failure, compromised circulation, and death. The standard evaluation includes laboratory assay, infectious disease panel, radiographic imaging with computed tomography, bone marrow biopsy, and tissue diagnosis. Two cases studies are presented describing the range of different acute issues that may arise with aggressive lymphomas including tumor lysis, HIV, small bowel obstruction, superior vena cava compression, aggressive disease transformation, and acute renal injury. Edythe M.