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hematolgy
anemias,
Question | Answer |
---|---|
Most common anemia caused by an inadequate diet | Iron-deficiency anemia |
Iron deficiency anemia should be considered caused by ______________ until proven otherwise | Bleeding |
s/s of severe or prolonged iron-deficiency anemia | smooth sore tongue, brittle and ridged nails, and angular cheilosis (cracked mouth corners) |
Lab levels w/ iron deficient anemia | decreased: ferritin, hgb, MCV, Hct and RBC |
Nursing responsibilities w/ i.d anemia | Preventative education in pregnant and menstruating women; foods high in iron: meats (esp organ meat), beans, leafy green veg, raisins, and molasses; vit c; Take supp 1 hour before meals, no dairy or antacids, |
Rare disease caused by decrease or damage to marrow stem cells | Aplastic anemia |
Aplastic anemia results in severe anemia, __________, and ___________. | Neutropenia; thrombocytopenia |
Causes of aplastic anemia | Infections, pregnancy, meds, chemicals, radiation. |
Complications and s/s of aplastic anemia | fatigue, pallor, dyspnea, purpura, throat infections (caused by cervical lymphadenopathy), splenomegaly and retinal hemorrhages. |
nursing responsibilities w/ aplastic anemia | Assess for s/s of infection and bleeding; neutropenic precautions, manage thrombocytopenia; if on cyclosporine, monitor renal or liver dysfunction, htn, pruritis, visual impairment, tremor, and skin cancer. |