Assessment of 
    Hematologic System
    • Subjective Data
      •Past health history
         • Demographic data
         • Current and past individual and 
          family history
         • Past and current use of 
          medications, herbs, and 
          supplements
         • Surgical history
         • Review of systems using functional 
                 Copyright © 2014 by Mosby, an imprint of Elsevier Inc.
          health patterns
    Assessment of 
    Hematologic System
    • Subjective Data
      •Past health history
         • Previous hematologic problems 
          such as anemia, bleeding 
          disorders, or blood diseases
         • Disorders, injuries, or transplants 
          involving the liver, kidney, or 
          spleen
         • Alcohol or IV drug use
                 Copyright © 2014 by Mosby, an imprint of Elsevier Inc.
    Assessment of 
    Hematologic System
    • Subjective Data
      •Medications
         • Thorough assessment is important 
          for identifying all substances that 
          can potentially influence 
          hematologic health including
         • Disruption of clotting processes
         • Bone marrow depression
         • Secondary malignancies
         • Bleeding problems
                 Copyright © 2014 by Mosby, an imprint of Elsevier Inc.
    Assessment of 
    Hematologic System
    • Subjective Data
      •Surgery or other treatments
         • Splenectomy, tumor removal, 
          prosthetic heart valve placement, 
          excision of the duodenum, partial 
          or total gastrectomy, gastric 
          bypass, and ileal resection are 
          significant.
         • History of bleeding and  wound 
          healing
         •       Copyright © 2014 by Mosby, an imprint of Elsevier Inc.
          Previous blood transfusions
        Case Study
                                                                                                      iStockphoto/Thinkstock
         •
           B. C. is a 76-year-old female who 
         presents to  the hematology 
         clinic where you work.
         •
            She is complaining of an 
         increase in fatigue  over the past 
         3 months that is “not any  better 
         after a decent night’s rest.” 
                                 Copyright © 2014 by Mosby, an imprint of Elsevier Inc.
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