Med Surg II - Test 3

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Med Surg II - Test 3
2012-04-23 18:48:29
Hematologic Disorders

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  1. What do Reticulocytes measure?
    Bone Marrow Function
  2. PT/INR?
  3. PTT?
  4. What does a decreased ESR mean?
    treatment is working
  5. Which type of Anemia?

    Cheilosis (cracks at corner of mouth)
    Iron Deficiency Anemia
  6. Which type of Anemia?

    Spoon shaped nails
    Iron Deficiency Anemia
  7. Which type of Anemia?

    Iron Deficiency Anemia
  8. Which type of Anemia?

    B12 Deficiency Anemia
  9. Which type of Anemia?

    Glossitis (beefy red tongue)
    B12 Deficiency Anemia
  10. Which type of Anemia?

    No paresthesis
    Folic Acid Deficiency
  11. Administering Iron Dextran?
    ONLY the Dorsogluteal site should be used. All other sites the ventrogluteal site should be used.
  12. Patient teaching for Iron Deficiency Anemia?
    • mix OJ with Iron to aid absorption
    • use a STRAW where iron does not stain teeth

    Eat Meats & Green Leafy Veggies (cereals, beans, liver, meats raisins)
  13. Who is at risk of developing B12 Deficiency Anemia?
    Vegitearians & people who lack dairy products in their diet
  14. What is the priority nursing diagnosis for someone with Sickle Cell Crisis?
  15. Sickle cell disease patho?
    HgbS is produced rather that HgbA
  16. Ways to prevent Sickle Cell Crisis?
    • Hydrate
    • avoid extreme temps
    • avoid overexertion
    • avoid elevation changes
    • avoid alcohol & smoking
    • space out activities
  17. Interventions for Sickle Cell Crisis?
    • Hydrate
    • Oxygenate
    • Medicate (strict scheduled meds - not prn schedule)
    • Educate (on how to prevent crisis)
  18. Which Anemia is more common in blacks?
  19. Before administering a blood transfusion to a Renal or Heart patient what should you do?
    give LASIX and use the entire 4 hours to give the blood
  20. What should you prime the tubing with before administering blood?
    Prime it with SALINE then hang it higher than the blood
  21. Before administering blood what must be done?
    • Check with 2 nurses
    • Check check check patient ID
    • Obtain baseline vitals and monitor every 15 min
    • Start slow (2ml/min)
    • Monitfor for first 15-30 min
  22. If you think a reaction to a blood transfusion has occured what should you do?
    • STOP the infusion
    • Begin a saline infusion
    • Contact physician and monitor patient
  23. S/S of Polycythemia?
    • Facial Flushing
    • Hypertension
    • Itching
  24. What disease is characterized by excess RBC, WBC and platelets?
  25. SE of transfusion reaction?
    • Apprehension
    • Headache
    • Chest pain
    • Low back pain
    • Tachycardia
    • Tachypnea
    • Hypotension
    • "Doom"
  26. What is a side effect of Hydroxyurea that is given to treat Polycythemia?
    It destroys all blood cells
  27. What are way to prevent venous stasis in a patient with Polycythemia?
    • Anticoagulants
    • TED hose
    • Ambulate
    • Hydrate
    • Avoid tight clothes
    • Elevate feet when sitting
  28. What are you at risk for with Leukemia?
    • Infection (no fresh flowers/fruits)
    • Bleeding