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Med Surg II Unit 2
Care of Pt. w/ a blood or lymphatic disorder
| Question | Answer |
|---|---|
| a diagnostic test that assesses the three major cells formed in the bone morrow. (pg.294) | Complete Blood Count (CBC). |
| a diagnostic test that measures the size and hemoglobin content of the red blood cells. (pg.294) | Erythrocyte Indices. |
| a disorder characterized by RBC and hemoglobin and hematocrit levels below normal range. causes delivery of insufficient amounts of 02 to tissue cells. (pg.295) | Anemia |
| What Anemia is known as the "Blood Loss Anemia"?(pg.296) | Hypovolemic Anemia. |
| this type of anemia is a result of a metabolic defect: the absence of a glycoprotein intrinsic factor secreted by the gastric mucosa.(pg.297) | Pernicious Anemia |
| Medical management of a pt with Pernicious Anemia... (pg.297) | Vitamin B12 injections, folic acid supplements, and iron replacement are ordered. |
| Platelet transfusions that are human lymphocyte antigen (HLA) matched are used to treat pt.s with?(pg.299) | serious bleeding in a thrombocytopenic pt. |
| a hereditary coagulation disorder, that is characterized by a disturbance of the clotting factors. | Hemophilia |
| The second human-derived product is called(pg.313) | factor VIII concentrate |
| A bone marrow transplant is indicated in certain conditions and diseases such as? (pg.299) | immunodeficient states, cancer, leukemia, and recurrent aplastic anemia. |
| an anemia that causes crescent shaped RBC containing hemoglobin S (Hg-S)- a defective hemoglobin molecule.(pg.302) | Sickle Cell Anemia |
| A fatal condition of the blood that is characterized by a severe reduction in the number of granulocytes.(pg.305) | Agranulocytosis |
| a malignant disorder of hematopoietic system in which an excess of leukocytes accumulates in the bone marrow and lymph nodes.(pg.307) | Leukemia |
| a platelet disorder has a deficiency of the number of circulating platelets or change in the function of platelets alters the process of coagulation.(pg.311) | Throbocytopenia |
| The Major signs of Throbocytopenia that are observable by physical examination are.(pg.311) | petechiae and ecchymoses on the skin. |
| Petechiae occur only in pt's with?(pg.311) | platelet disorders |
| what occurs with Hemophilia?(pg.312) | Internal or external hemorrhage occurs with large ecchymoses into tissue-especially muscles, which may show deformity, and joints that become ankylosed. |
| a disease that is an inherited bleeding disorder characterized by abnormally slow coagulation of blood and spontaneous episodes of GI bleeding, epistaxis, and and gingival bleeding caused by a mild deficiency of factor VIII.(pg.314) | von Willebrand's Disease. |
| An anemia that has the effect of depression of erythrocyte production resulting in lowered hemoglobin and rbc's. Leukopenia and Throbocyopenia may develop.(pg.298) | Aplastic Anemia |
| In Aplastic anemia Blood transfusions are avoided to prevent??(pg.299) | Iron overloading and the development of antibodies to tissue antigens. |
| this is a grave coagulopathy resulting from the overstimulation of of clotting & anticlotting process in response to disease or injury,including septicemia,obstetic complication,malignancies,tissue trama,transfusion reaction,burns,shock,&snake bites.p.315 | Disseminated Intravascular Coagulation (DIC) |
| also known as plasma cell myeloma, is a malignant neoplastic immunodeficiency disease of the bone marrow.(pg.316) | Multiple Myeloma |
| this is an inflammation of one or more lymphatic vessels or channels that usually results from an acute streptococcal or staphylococcle infection in an extremity.(pg.317) | Lymphangitis |
| Clinical manifestations of Lymphangitis are characterized by?(pg.317) | fine red streaks from the effected area in the groin or axilla. (the infection is usually NOT localized, and edema is diffuse) |
| Medical management for Lymphangitis is?(pg.317) | Administration of penicillin or other antimicrobial drugs contols the infection. Hot, moist heat-soaks or packs-brings comfort. |
| Nursing interventions for Lymphangitis are?(pg.317) | Aseptic technigue promotes healing. Rest and extremity elevation may relive pressure. |
| a primary or secondary disorder characterized by the accumulation of lymph in soft tissue and edema.(pg.318) | Lymphedema |
| Medical management of Lymphedema.(pg.318) | Diuretics and antimicrobials are administered as ordered. Also mechanical management includes use of compression pumps and electric sleeves or stockings on the effected limb. Diet:limited NA, NO spicy foods, which can precipitate thirst. |
| Nursing interventions for Lymhedema are.(pg.318) | the primary goal of care is to increase lymphatic drainage and avoid trauma. |
| a malignant disorder characterized by painless, progressive enlargement of lymphoid tissue.(pg.318) | Hodgkin's Disease |
| Lymphoid tissue enlargement is first noticed in the cervical nodes and spleen and is characterized by abnormal or atypical cells called..(pg318) | Reed-Sternberg cells |
| this is a neoplastic disorder of lymphnoid tissue.(pg.321) | NON-Hodgkin's Lymphoma(NHL) |
| Clinical manifestations caused by NON-Hodgkin's Lymphoma (NHL)(pg.322) | Painless, enlarged lymph nodes are found in the cervical area, and fever, weight loss, night sweats, anemia, pruritus, and susceptibility to infection develop. |
| The subjective symptoms of hematological disorders(pg.323) | fatigue, weakness, dizziness, and dyspnea. may be mistaken for normal changes of aging or attributed to other diseases processes commonly seen in older adults. |
| The most common blood disorders are forms of.(pg.323) | Anemia |
| Decreased production of intrinsic factor in an aging gastric mucosa results in incidence of.(pg.323) | Pernicious anemia |
| Many older adults suffer from conditions such as colonic diverticula, hiatal hernia, or ulcerations that can cause occult bleeding. Older adults should be observed for.(pg.323) | Iron deficiency anemia. |
| Age related problems such as altered dentition, limited financial resources, difficulty in food preperation, and poor appetite resulting from emotional upset or depression can cause an increased incidence of.(pg323) | Iron deficiency anemia |
| Blood products should be administered with caution because older adults are at increased risk of.9pg.323) | developing CHF. careful assessment of cardiopulmonary funtion and intake and outputs are essential. |
| Oral administration of iron preparations increases the risk of.(pg.323) | Gi irritations and constipation in older adults. |
| This form of leukemia uaually progresses slowly in older adults and is rarely treated.(pg.323) | Chronic lymphocytic leukemia. |
| The test for a measure of packed cell volume of rbc's expressed as a percentage of the total blood volume is.(pg.325) | Differential |
| Laboratory blood test for diagnosing pernicious anemia.(pg.294) | Shilling test. |
| The Shilling test measures the absorption of?(pg.294&297) | radioactive vitamin B12. |
Created by:
Holly Swiderski
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