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FSHN 450-3 wound
Question | Answer |
---|---|
Decubitis ulcer | pressure bearing sites that aren’t mobile (spine, heels) |
Stress ulcer | dehydration, poor circulation, sheer friction forces |
Braden score | risk for pressure ulcers (4= best) on 5 categories |
Treatment of pressure ulcers | debridement, antiseptics, baths, hyperbaric oxygen, skin grafts |
Glutamine | probably doesn’t help |
What vitamin assists in collagen synthesis? | vitamin C |
HMB | not that useful but it’s found in juven (normal constituent of muscle) |
Mineral that may help with wound healing | zinc (but may interfere w/ Cu metabolism) |
Normocytic anemia | from chronic or acute blood loss |
Microcytic anemia | late iron deficiency |
Megaloblastic anemia | folic acid or B12 deficiency |
Pernicious anemia | B12 deficiency due to lack of IF |
Females anemia cutoffs | HGB <12 g/dL; HCT <35-36% |
Males anemia cutoffs | HGB <13 g/dL; HCT <38-39% |
MCV normal | 75-98 (>98 macrocytic, <75 microcytic) |
Hypersegmentation | precedes macrocytic anemia |
How else do iron deficiency RBCs look different? | noticeably less red |
Iron stores ___ with age | increase, just can’t be mobilized |
What one lab value is increased w/ iron deficiency? | transferrin (saturation goes down) |
What is the most sensitive measurement for iron deficiency? | serum ferritin |
What vitamin enhances iron absorption? | vitamin C |
What OTC medication can affect iron absorption? | antacids b/c neutralize ascorbic acid acidity |
Treatment of pernicious anemia | nasal or intramuscular B12 |
3 types of pernicious anemia | congenital, juvenile, adult onset |
symptoms of pernicious anemia | anorexia, ringing in ears, tingling, constipation/diarrhea |