Med Surg

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Author:
gpkalkan
ID:
207122
Filename:
Med Surg
Updated:
2013-03-13 20:13:01
Tags:
Oncology Hemotology
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Description:
Med Surg I
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  1. Cell
    proliferation
    • ›uncontrolled
    • growth with ability to metastasize and destroy tissue, and cause death
  2. Primary prevention is for
    • Education/ Risk Reduction
    • * reduce risk for disease
    • * change lifestyle
  3. Secondary prevention involves
    • Screenings, early diagnosis
    • high risk determination
  4. Nursing Oncology Diagnosis
    • Altered nutrition 
    • Altered body image
    • Anxiety
    • Altered skin integrity 
    • Pain
  5. What do Neutrophils do?
    fight infection
  6. Monocytes are what kind of cell?
    Phagocytic
  7. Eosinophils attend to...
    allergic reactions
  8. basophils contain...
    histamine (?????)
  9. Erythrocytes carry...
    Hemoglobin
  10. Thrombocytes are also known as....
    and are for....
    platelets, coagulation
  11. T cells are for
    immunity....surveillance
  12. Hemoglobin carries
    Oxygen
  13. Platelet count
    150,000-400,000/ per ???
  14. WBC count
    3.2-9.8/ per ???
  15. Hematocrit Hct
    35-52%
  16. Hemoglobin Hgb
    12-18 gm/dL
  17. RBC count
    4-6/ per???
  18. Bone marrow risk/ autopsy
    • infection
    • hemorrhage  
    • pain
  19. 3 kinds of anemia
    • Bleeding
    • Hemolytic 
    • Hypoproliferative
  20. Name three deficiencies that can contribute to hypoproliferative anemia
    • Iron
    • B12
    • Folate

    ?????
  21. S/S of Anemia
    • Dyspnea
    • Chest pain
    • Muscle pain/ cramping
    • mouth ulcerations
    • brittle concave nails
  22. possible NANDA for Anemia
    fatigue; diminished O2 carrying capacity of blood...due to decreased hemoglobin

    Impaired nutrition r/t mouth ulceration and glossitis(??)
  23. Polycythemia means
    many cells in the blood
  24. Pathophys of Polycythemia
    uncontrolled rapid cellular production and maturation
  25. S/S of Polycythemia
    • Dizziness
    • Clubing of digits 
    • Ecchymosis 
    • Headache
    • Fullness in head
    • Alterations in vision 
    • Fullness in abdomen
  26. S/S pf Hemophilia
    • Spontaneous bleeding
    • Excessive bleeding or bruising
    • Large IM hematomas from minor injury
    • Painful joints
    • Hematuria 
    • Abdominal flank or chest  pain
  27. Name the 4 stages of infection
    • 1. incubation...becomes infectious
    • 2. prodromal...vague, malaise
    • 3. Acute illness...specific complains..S/S
    • 4. Convalescence ....immune response success, increased healing, decreased microbes
  28. Name 2 key characteristics of pathophys of infections
    1. capillaries dilate...fluids move into tissue...edema

    2. cellular...WBCs and platelets move in on invader
  29. S/S of infection
    • temp rise
    • edema
    • redness
    • pain 
    • increased circ 
    • increase in WBC, first neutrophils then monocytes...attack and kill microbes

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