Hematology

Card Set Information

Author:
vanwin
ID:
251828
Filename:
Hematology
Updated:
2013-12-09 15:26:57
Tags:
hematology nursing medsurge
Folders:
MEDSURGE_E1
Description:
nursing, uttyler, don't go here
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  1. Anemia causes (3)
    • acute/chronic blood loss
    • decrease production
    • increased destruction
  2. S&S mild anemia (4)
    • hgb 10-12
    • exertional dyspnea
    • palpitations
  3. Moderate anemia ( 4)
    • hgb 6-10
    • SOB at rest
    • increased palpitations
    • fatigue
  4. severe anemia s&s (8)
    • pallor
    • tachycardia
    • tachpnea
    • vertigo
    • irritability
    • impairthought process
    • RESTLESSNESS
    • lethargic
  5. Iron deficiency anemia , people at risk
    • elderly
    • poor
    • pregers
    • teens
  6. Ferrous Sulfate Side Effects & nursing implications
    • SE: dark stools & constipation
    • Implications: give 1 before or 2 hrs after meals
  7. Iron rich food
    • liver
    • muscle meats
    • eggs
    • green leafy vegies
    • legumes- beans, lupins, nuts
    • whole grains
    • fortified breads& meats
  8. B12 deficient anemia  treatment (5)
    • oral/sublingual tablets
    • red meats
    • liver
    • eggs
    • enriched eggs
  9. folic acid anemia cause (6)
    • poor nutrition
    • malabsorption
    • drugs
    • alcohol
    • anorexia
    • hemodialysis
  10. folic acid anemia treatment (6)
    • liver
    • meat
    • fish
    • legumes
    • whole grains
    • green leafy vegies
    • *meds turn your urine BRIGHT yellow
  11. Aplastic anemia patho (4)
    • autoimmune disorder
    • fatal if untreated 3/4 of the time
    • pancytopenia
    • needs allogenic bone gragh
  12. Types of blood loss
    • Acute: trauma/surgery
    • chronic: menstruation, ulcers, hemorroids
  13. Thrombocytopenia purpura patho/ S&S (7)
    • autoimmune disorder
    • -petichia
    • -purpura
    • -ecchymosis
    • -nose bleeds
    • -gum bleeds
    • -internal bleeding
  14. Thrombocytopenia purpura treatment (3)
    • corticosteroids
    • spleenectomy
    • transfusion
  15. Leukemia Types (4)
    • Lymphocytic: chronic/acute
    • myelogenous: chronic/acute
  16. Leukemia S&S (5)
    • related to bone marrow failure
    • *pancytopenia
    • enlarged liver & spleen
    • fatigue
    • headache
  17. Leukemia labs
    • really high WBC's (immature)
    • pancytopenia
  18. Chemotherapy goals for leukemia (4)
    • decrease drug resistance
    • minimize toxicity
    • hit multiply phases of cell cycle
    • mayneed 6-9 months of treatment
  19. phases of chemotherapy for leukemia
    • Induction: try to bring remission
    • Intensification: same drug,, higher doses
    • consolidation: adjuvant
    • maintenance: lower to keep remission
  20. Radiation goal for leukemia
    whole body radiation to prep for bone marrow transplant
  21. HSCT complication (5)
    • infection
    • hemorrhage
    • graft failure
    • relapse
    • graft vs host
  22. Graft vs host disease patho/ s&s
    • Tcells in donor marrow attacks patient's cells
    • redness & peeling hands and feet
    • rash on trunk, ears, hands and feet
    • anorexia, N/V/D
    • dryness
    • infection
  23. hodgkins lymphoma characteristics ( 4)
    • reed-sternberg cells
    • epsteinbarre virus
    • HIV
    • start out at single location
  24. lymphoma staging
    • I: single node
    • II: 2 or more nodes on one side of diaphragm
    • III: nodes on both sides of diaphragm
    • IV: areas outside the nodes are affected
  25. Multiple myeloma patho
    abnormal proliferation of plasma cells ->overcrowding in bone marrow -> draws calcium out of bones!

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