NR 324 MED SURG 1 FINAL EXAM Anemia- Chamberlain College of Nursing
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NR 324 (NR324)
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NR 324 MED SURG 1 FINAL EXAM Anemia- Chamberlain College of Nursing/NR 324 MED SURG 1 FINAL EXAM Anemia- Chamberlain College of Nursing/NR 324 MED SURG 1 FINAL EXAM Anemia- Chamberlain College of Nursing/NR 324 MED SURG 1 FINAL EXAM Anemia- Chamberlain College of Nursing
nr 324 med surg 1 final exam anemia chamberlain college of nursingnr 324 med surg 1 final exam anemia chamberlain college of nursingnr 324 med surg 1 final exam anemia chamberlain college of nurs
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ANEMIA chapter 31
Bleeding= thru GI, menstrual
Bleeding # 1 cause of iron deficiency anemia
Anemia= low erythrocytes (#, Volume and quantity of hmg)
Cause of anemia= b/d loss, high RBC destruction, low RBC
production
3-4-month length of RBC
MEGALOBASTIC ANEMIA--
1-Pernicious- lack of intrinsic factor-B12
2-Follic acid deficiency (in pregnancy), long term sequelae of
fetus=neural tube defect/sparadifulum
Iron=# 1 cause of pediatric overdose
Iron we can give PO—S/E=heart burn, black stool, constipation
-use citric juice to help with absorption
**Know the normal value of HGB/HMT, WBC and PLT
Clinical of manifestation of anemia-low O2, tachycardia, dyspnea
Assess first in skin color-with white conjunctiva(pale) it should be
pink, cheilitis, glossitis (beefy red tongues), fatigue, inflamed lip
Iron deficient is one of the common chronic hematologic disorder
-LAB: Low HMG, HMT, PLT, WBC, stool guaiac test (make sure
not bleeding in GI, endoscopy, colonoscopy
-Check for renal disease if not from GI
-Goal is to correct the underline disease
_With iron-deficiency anemia, you will receive packed RBC
-Drug- oral iron-150-250mg, stool softener (Colace)
_Upset stomach-pectobysthmul med (black stool)
contraindicated=ed in PT on coumadin, it has aspirin
Iron-may stain skin
_At risk-pre menopause, pregnant, older adult, PT who lose b/d
Iron can cause GI effect-heart burn
THALASSEMIA- synthesis HMG is wrong- minor – no need to
worry, major (multiple b/d transfusion, splenectomy= spleen out
because it stores RBC) =life threatening, Mediterranean, genetics
This study source was downloaded by 100000817935606 from CourseHero.com on 01-26-2022 14:56:20 GMT -06:00
, Anemia of chronic disease= inflammation, autoimmune and
infection (HIV, Hepatitis, malaria), HF, malignant, Bleeding
episodes
Sickle cell primary cause is genetic, incorrectly shape, not enough
HGB, PT has pain in crisis (HOT Mnemonic=Hydrate, O2, Pain
med)
Chronic = no need of transfusion
PANCYTOPENIA (everything)
Acute blood loss-hemorrhage, retroperitoneal bleeding-
1 unit of pack cell can bring up about 2%
HEMOLITIC ANEMIA
-Thalassemia=hereditary
-Sickle cell=HOT is the Rx, autosomal, genetic, PT should avoid
altitudes, rest with DVT prophylaxis
SAME CHAPTER AS ANEMIA
Thrombocytopenia=low PLT
Too much PLT =thrombocytosis
Polycythemia=high RBC-PT who smoke, hemacrotosis
Should never have positive basophil in CBC
Thrombocytopenia=monitor PLT, coagulation studies, HGB and
HCT, manage the b/d loss
Heparin induced thrombocytopenia- most common
On heparin drip PT=monitor PTT (every 4-6 hrs.) and PLT (can
cause it to drop--HIT)
Normal PLR 150000-400000
With thrombocytopenia-administer PLT transfusions, b/d
component therapy to mage hematologic diseases, soft tooth brush
Expected outcome…watch out for bleeding, petechia, bruising
TTP can be cause by drug
Idiopathic (ITP) do not know where it comes from
This study source was downloaded by 100000817935606 from CourseHero.com on 01-26-2022 14:56:20 GMT -06:00
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