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hematological-peds
| Question | Answer |
|---|---|
| function of RBC's | transport hgb |
| function of hemoglobin | transport oxygen |
| function of platelets | clotting |
| Anemia classifications | inadequeate suply or loss of iron/morphology |
| clinical manifestations of anemeia | HA, restlessness, increase in HR, cycanosis, murmur |
| theraputic management of iron deficient anemeia | prevention: assessment of dietary intake |
| use of iron supplements | intruct parents to administer liquid med past teeth, wipe teeth after med administration, inform parent stool color and consistency may change |
| basic defect of sickle cell | under conditions of deydration, acidosis, hypoxia, fever or cold; RBC's will sickle |
| Pathophysiology of sickle cell | the sickled RBC's cause obstruction of blood flow and increase of RBC destruction by spleen |
| obstruction of micro-circulation leads to... | local hypoxia, ischemia and infarction of the tissue |
| priority nursing management for pt with occulsive sickle cell crisis | PAIN, hydration and oxygenation |
| initial pain management drug used for sickle cell crisis | morphine sulfate |
| hemophilia | predisposes the pt to bleeding anywhere in the body after trauma or injury |
| treatment to stop bleeding | replacement of missing factor, rest of injured area, ice, elevation, compression |
| nursing goal in treating pt with hemophilia | prevention of bleeding: use of saftey equipment, good dental hygeine, education of all care givers |
| how to prevent complications of bleeding | ROM to involved joint after acute phase (bleeding) |
| clincial manifestiations of anemia are seen due to... | alterd cardiac output secondary to the abnormal hgb level |
| S/Sx seen in anemia manifest the same regardless of the .... | cause/etiology of the anemia |
| Teenagers are at risk for iron deficent anemia d/t | their dietary intake and rapid growth |