Exam (elaborations)
Cpn Exam- Moderate And Low Priority Questions And Answers With Verified Solutions (GRADED A+)
- Course
- Institution
Cpn Exam- Moderate And Low Priority Questions And Answers With Verified Solutions (GRADED A+)
[Show more]
Content preview
Cpn Exam- Moderate And Low PriorityQuestions And Answers With Verified
Solutions (GRADED A+)
Anemia - ANSWER✔✔ decrease in serum hemoglobin (11.5-14.5) that can be
acute or chronic
Acute Anemia Manifestations - ANSWER✔✔ acute tissue hypoxia
muscle weakness, fatigue, pallor, lightheaded, increased HR
Chronic Anemia Manifestations - ANSWER✔✔ compensated anemia
growth retardation, delayed sexual maturation, increased HR, heart murmur
Iron Deficiency Anemia - ANSWER✔✔ most prevalent nutritional disorder in the
US
lack of iron leads to small RBC that break and do not carry oxygen well
Iron Deficiency Anemia at risk population - ANSWER✔✔ premature infants and
multiple birth infants
fetal transfer of iron is highest in last trimester, full term infants have 6 month
store of iron
Poor source of iron intake - ANSWER✔✔ whole milk
identify excessive milk intake or early introduction of whole milk
,Iron Supplementation Interventions - ANSWER✔✔ temporarily stain teeth-
medicine dropper and brush teeth after
absorption best between meals with citrus fruit or juice
stool should be tarry green or black when iron levels are adequate
sickle cell disease - ANSWER✔✔ genetic disorder causing abnormal HGB S
RBC get trapped in vasculature causing dehydration and hypoxia
RBC lifespan in chronic hemolytic anemia - ANSWER✔✔ 20 days
Normal RBC lifespan - ANSWER✔✔ 90-120 days
Vasoocclusive pain crisis - ANSWER✔✔ rbcs will un-sickle with adequate oxygen
and hydration
to prevent, promote hydration, avoid extreme cold or heat
sickle cell disease fever/infection - ANSWER✔✔ caused by splenic failure
(decreases ability to fight infection)
first sign of bacteremia is fever
monitor for sepsis, start abx (penicillin)
pneumococcal vaccine helps prevent infections
Altered Clotting Function Disorder Names - ANSWER✔✔ Immune/ Idiopathic
Thrombocytopenia Purpura (ITP)
Hemophilia
,Disseminated Intravascular Coagulation (DIC)
Immune/ Idiopathic Thrombocytopenic Purpura (ITP) - ANSWER✔✔ acquired
hemorrhagic disorder that results in the autoimmune distruction of platelets in
spleen
most children are age 2-10 and completely recover within 2 months
Idiopathic Thrombocytopenic Purpura Assessment - ANSWER✔✔ petechiae,
bruises, and bleeding (urine and gums)
Idiopathic Thrombocytopenic Purpura treatment - ANSWER✔✔ If platelets
<20,000- IVIG (responds in 10-12 hours)
Anti-D antibody (winrho) less expensive than IVIG (5-10 minutes IV, response in
48 hours)
Bleeding Precautions - ANSWER✔✔ avoid ibuprofen, injections, and trauma
hemophilia - ANSWER✔✔ group of bleeding disorders where there is a deficiency
in one of the factors necessary for coagulation of blood
severe can cause spontaneous bleeding- give factor VIII or IX
Immobilize and elevate affected area, ROM exercises, prevent injury
Disseminated Intravascular Coagulation (DIC) - ANSWER✔✔ Caused by trauma,
transfusion reaction, cancer
consumption of clotting factors and platelets leads to massive bleeding from
multiple sites resulting in hypovolemia
, Disseminated Intravascular Coagulation Treatment - ANSWER✔✔ transfuse FFP
and platelets
PRBC Administration - ANSWER✔✔ VS prior to start
IV NS to piggyback tubing
Administer 20% of transfusion slowly, then can speed up
Transfusion Reactions- types - ANSWER✔✔ STOP INFUSION, START NS
hemolytic- flank pain, severe HA, dyspnea, shock, renal failure
allergic- hives and itching
febrile- fever/ chills
Hypothyroidism - ANSWER✔✔ thyroid hormone regulates basal metabolic rate
can be either congenital or acquired
Hypothyroidism Assessment - ANSWER✔✔ impaired growth/ development
constipation
sleepy
hypotonia, hypothermia
slow pulse
weight gain
Congenital Hypothyroidism Assessment - ANSWER✔✔ intellectual disability,
enlarged tongue, hoarse cry
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller classhub. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75391 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
