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2012-04-22 15:28:14
Med surg

Blood/Lymph Med/Surg Chapter 47
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  1. what is phagocytosis
    process where cells engulf
  2. what is a differential wbc count
    exam to check % of wbc
  3. plasma makes up how much of the blood volume
  4. what gives blood its rich color
  5. what are leukocytes
    • wbc
    • have nucleui and are colorless
  6. explain what a shift to the left is
    bandemia-an increase in the number of band neutrophils
  7. what is a Schilling test
    • shows malasorption of vitamin B12
    • test for pernicious anemia
  8. where are the adults erthrocytes produced
    red bone marrow
  9. what is the normal blood value for eosinophils
  10. how many mL of blood does the spleen store and can be released in emergencies
  11. inadequate absorption of ___ results in pernicious anemia
  12. what is the normal blood value for lymphocytes
  13. explain a plan of care for a pt with multiple myeloma
    encourage fluid intake 3-4L a day to dilute calcium load
  14. a pt has just been diagnosed with leukemia. give 2 nursing diagnoses that would be most appropriate
    • ineffective coping
    • chronic pain
  15. what value is most indicative of iron deficiency anemia
    • hemoglobin of 8 or lower
    • hematocrit below normal
  16. what do iron supplements do to the stools
    pt will understand stools will be discolored
  17. what is aplastic anemia
    the activity of bone marrow is depressed
  18. what is sickle cell anemia? who can get it?
    yes in her race, 1 out of 500 have it
  19. if neutrophils are 10% with agranulocytosis, what would be the most important nursing intervention
    avoid infection
  20. what is idiopathic thrombocytopenic purpura? if the platelet count is 18,000mm3 what would be the most appropriate nursing diagnosis
    institute bleeding precautions
  21. what is DIC
    acquired hemo? syndrome of a cloting cascade
  22. what a pt has pruritus with Hodgkins's, an appropriate nursing intervention to relieve the symptoms would be to
    soothing bath with antipruritus medication
  23. what are Reed-Sternberg cells
    fatigue, pruritus, painless, cervical lymph nodes
  24. pts with pernicious anemia must receive injections of ____ for the rest of their life.
    Vitamin B12
  25. a pt with thrombocytopenia needs to be on what kind of precautions
    prevent trauma and falling
  26. petechia and ecchymoses are seen in what type of hematological disease
    thrombocytopenia and hemaphilia A
  27. what is the tx of polycythemia vera
    • removal of 500-2000 of blood
    • therapeutic phebotomy
  28. what type of symptoms is seen in leukemia
    • pain in bones and joints
    • malaises
    • irritability
    • fatigue
  29. what is the primary pathophysiologic feature of polycythemia vera
    increase RBC, hyperviscosity, blood gets thick
  30. what is the most important measure in preventing transmission of pathogens to patients? especially with decreased bone marrow function
  31. what is the life span of an erythrocyte
    120 days
  32. older adults with colonic diverticula, hiatal hernia, ulcerations that can cause occult bleeding can need to be watched for _____ _____ anemia
    iron deficiency
  33. administer blood products with caution because older adults are at increased risk of developing_______. the nurse needs to assess ________ and ______ and _____.
    • congestive heart failure
    • input
    • output
  34. how are the tissues and cells affected when a pt has anemia
    • decrease RBC
    • hemoglobin and hematocrit
    • decrease amount of oxygen
  35. specimens from twins, siblings, or self (autologous) while in remission would be the
    best adequate bone marrow transplant person
  36. where is the spleen located, and what is its main functions
    • LUQ below diaphragm
    • reservoir for blood
    • forms lymphocytes, monocytes and plasma
    • destroy worn out RBCs
    • remove bacteria by phagocytosis
    • produce RBC before birth