Hematologic

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Author:
rodghawk
ID:
192766
Filename:
Hematologic
Updated:
2013-01-14 12:07:01
Tags:
NCLEX
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Description:
NCLEX
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  1. what are foods that are high in iron? (7)
    eggs

    dark meat

    shellfish/shrimp/tuna

    legumes and beans

    nuts

    oatmeal

    sweet potatoe
  2. what are foods that are high in B12? (2)
    meats

    dairy
  3. def of thrombophlebitis
    inflammation of a vein
  4. why do patients with pernicious anemia have to take B12 shots for life?
    they lack intrinsic factors that are necessary for the absoprtion of B12, which leads to anemia
  5. important teaching points for sickle cell anemia (3)
    drink plenty of fluids in hot weather to prevent dehydration

    avoid high altitudes (low oxygen may precede sickle cell crisis)

    inform that pregnancy may increase risk for crisis
  6. what causes a sickle cell crisis
    RBCs become malformed during periods of hypoxia  --> obstruct capillaries in joints and organs
  7. what is the purpose of epoetin injections and what should be monitored before giving?
    form of ereythropoietin -- stimuluates production of RBC which increases Hct

    need to check VS before giving -- esp BP, which can rise due to inc. Hct
  8. def of DIC and what are they at risk for?
    def -- clotting and anticlotting mechanisms occur at same time

    at risk for internal and external bleeding and damage to organs from ischemia
  9. nursing care for DIC (5)
    TREAT UNDERLYING CAUSE

    monitor for signs of organ faliure

    admin fluid volume replacement

    transfuse blood, platelets and other clotting products

    admin heparin (does not respond to oral anitcoags)
  10. patho of leukemia (2 parts)
    cancer of WBC -- become non-functional

    WBC invade and destroy bone marrow

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