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what are foods that are high in iron? (7)
legumes and beans
what are foods that are high in B12? (2)
def of thrombophlebitis
inflammation of a vein
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
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
what causes a sickle cell crisis
RBCs become malformed during periods of hypoxia --> obstruct capillaries in joints and organs
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
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
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)
patho of leukemia (2 parts)
cancer of WBC -- become non-functional
WBC invade and destroy bone marrow
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