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SOPN Med Test 5
| Question | Answer |
|---|---|
| How to prevent DVT | decrease inflamtion prevents embolization |
| I have deep chest pain, dysphasia, bruit, abdominal pain. What do I have? | Aortic Aneurysm |
| What do Chealing Agents do | Reduce iron for Thalssmia, Hemochromotaois |
| Most important past health history sign related to hematologic system | jaundice |
| ITP Antigen Test for what | Immune Thombocytopenic Purpura *do not take asprin* less than 150,00 plteltet *hemmorage* |
| What should a patient take after heparin IV | Warafin (coumadin po only Antidote Vit K |
| Im predisposed to Anemai, thrombocyopenia, decrease WBC, Incrfease Abnormal WBC what Disease do I have | Leukemia |
| I am Protain Sulfate, what am I | Heparin Antidote |
| My signs are Non Tender, Non Painful Lymphs, Night Sweats, weight lose, and Im weak. What do I have | Hodgkin's Lymphma |
| What is the most common site for a Dissecting Aneurysm | Intimal Wall (inner most) Life Threating |
| 14C Serotonin Release Assay Test for what disease | Heparin Induced Thrombosis, Thrombosis Syndrome |
| I have excess production of inactive SMALL B lymphocyes which infiltrate bone marrow, spleen, liver, similar to Non-Hodgkins, what do I have | Chronic Lympocytic Luekemia |
| Drugs which inibit bone break down, and disease used for | Pamidronate, Adreia Multiple Myleoma |
| What should you montior and treat for Multiple Myeloma | Infections due to ineffective abnormal antibodies |
| My treatment is Heparin, Longterm warafin, thrombolytic therapy (tpa) tissue plasimogen activator & Stepkinase, what do I have | Acute Peripheral Arterial Emboli/Thrombus |
| An anticoagulant such as warfin that inteferes with the production of prothrobn will alter the clotting mechanism during what? | Activation of Thrombin |
| What is endartarectomy and what is used for | opening artery used to remove plaque |
| I have the 6 "P"'s Pain, Pallor, Pulselessness, Parathesaia, Pokiothermia, what do I have? | Acute Peripheral Arterial Thrombus (interupts arterial supply to tissue/extremitites = death) |
| I have severe back pain, ecchymosis in flank area adn Grey Turners sign, what do I have | Posterier Aneursim rupture postierly |
| I have increased C-Reactive Protein & Hyperuricemia, what do I have | PAD |
| This is a sythetic Dacron or PTFE graft sutured around artery what is it | A Graft |
| Target organ damage from hypertenision includes | Renal dsyfunction and left ventricle hypertrophy |
| How do you assess the Lymph Nodes | lightly with palpates of fingers, the superficial lymph nodes |
| What is the treatment for DVT | elevate extremities, warm compress if doctor ordered. |
| Willibrands disease would be treated with what | vWF & Factor VIII |
| Specific Symptoms of Aortic Dissection vary dependign on what? | The aortic branches afffected in the descent of the dissection |
| Name the true Aneurysms | fusiform: uniform sacular: one sided One Layer in tact |
| Treatment Secondary Polythemia | Increase RBC Increase 02 |
| What are the complications effects of leukocye reduction filters after transfusssion | cytomegalovirus and alloimmunization |
| Treatment for Acquired Hemolytic Anemia | Steriods, spleenectomy, remove caustive agent |
| What are the complications of Polycythemia | CVA, Increased Histamine, and Gout |
| What are the complications of Hemotochromatistosis | Cirrhoiss/liver failure, and Cardiac Failure |
| Why would I take heparin subcutaneously | to prevent "DVT" |
| I've interrupted arterial blood supply to tissues/extemities, if untreated I result in tissue death. What diseae am I? | Acute Peripheral Arterial Emboli/Thrombus |
| What are the drugs for Multiple Mylemoma | Cortosteriods (presidone, dexamehsome, Decardron, melphan, cytoxan, duxorubin Good luck remembering that |
| Drug to treat hypertension, PAD | Simvastatin (Zocor) |
| My Classic symtptom is Intermittent Claudication = ischemic = low 02, muscle ache lactic acid build up | PAD Lower Extremities |
| Im being mobilized, wearing antiembolism stocking, intermitt compression devices and taking heparin & Lovenox what do I have? | DVT |
| My treatment is Hydration to reduce viscosity, 02, and Allipronol to reduce gout What do I have | Polycythemia |
| I have fever, and no infections, no nuro problems, hemolytic anemia, with hemolyti uremic sydrome. What do I have | TTP Thrombotic Thrombocytopenic Purpura |
| What is almost always associated with Immunce Thrombocytopenia Purpura | Hemolyic Uremic Syndrome (HUS) |
| jI have shiny hairless legs, burnign shotting pain in extremites, pale skin, pain at rest, no pedal/potea/femoral pulse. What do I have | PAD Lower Extremities |
| Dimmer Assay Test for what | Diseminaed Intavascular Cogulation (DIC) |
| how to diagnosis Myelodyspasti Syndrome | CBC, Bone Marrow Aspiration, Biopsy |
| Heparin Antidote | Protamine Sulfate |
| Generalized edema of the involved extremity is a sign of what? | DVT |
| Coagulation process with resutant thrombosis as well as depetion of cloting factors, leading to diffuse clotting and hemorrage is what? | DIC |
| I have no Factor VIII or other factors | Hemophilla |
| What would I take Brevibloc for | Beta Blocker Aortic Dissention |
| What disease would I increase intestial absorbtion, and Increase Tissue Treatment, and remove 500 cc of iron for 2-3 years | Treatment of Hemochromatosis |
| I would get a diagnosis of what disease with WBC w/differential, include nuetrophil count, bone marrow apiration & biopsy to confrim what disease | Neutropenia |
| Nursing Intervetions for DVT, and what to monitor | Monitor INR's, PT, monitor bleeding, and keep welll hydrated. |
| Anticoagulants do and don't what | do: prevent clots don't: disolve clots |
| What should you monitor when a patient is on Heparin | PTT Partial Thromboplastin Time |
| I decrease Urin Acidd I am a drug for what disease | Drug for gout Disease Polycythemia |
| What is the major compliction of drugs in Hypertension in older adults | impaired absorption, larger intial dose. |
| How do you treat Hemarthrosis | (hemophilla) Ice and rest |
| Venus leg ulcers, the most important nursing intervention is | Elevation of extremites to incrase venous return |
| Test for PAD | ABI Ankle-brachial Index: less than .91 = PAD |
| Most Common Hemotologic Cancer seen in all ages | Non-Hodgkins Lymphoma |
| False Aneurysm effect | All layers of arterial wall |
| Im taking Plavix, Calcium Chanel Blockers, Anticoagulants but no surgery what do I have | Buerger's Disease |
| What is the differenc between hypertensive Urgency and hypertensive emergency | Emergencies always require Intraarterial BP measurements. |
| When on an Anticoagulant Therapy, the patient should be informed to report what? | Signs and symptoms of Bleeding |
| What is a premarker for CAD | PAD Incrase HR, and Stroke |
| In Multiple Myelomo a patient becomes confused and lathargic what would you expect to see? | Hypercalcemia |
| A low grad fever is very serious with what condition? | Nuetropenia |
| Drug for Nuetropenia | Neupogen, stimulates WBC, Strict Handwashing. |
| I have segmental,recurrent INFLAMMATORY, vaso-occlusive disorder of Small/Med size arteries which damages arterial wall causing thrombois and fibrosis... what do I have? | Thromboangitis Obiterans Buerger's Disease Associated with Smoking |
| Why would I get a Target INR Ratio | For DVT's, standarized system of reporting prothrombin time PT, normal is 1-2 but goal higher for anticoagulant. |
| Venous & Arterial Thrombosis causing DVT, skin necrosis, stroke, kidney damage and a low platlet count is what disease? | Heparin Induced Thromboyctopenia and thrombosi Syndrome. |
| Meds used Post Op to prevent peripheral by pass failure | Asprin, Plavix, Heparin Lovenox, Coumadin. |
| Incrased blood Viscosity, Increased Blood Volume, hypercoaguability, heptomegaly, and splenomeagly are signs of what disease | Polycythemia Polycythemia Vera Includes Increase WBC and Increase Platlets. |
| Dab nose instead of blowing for what disease | Thombocytopenia |
| True or False? All patients with elevated BP require Meds. | True (from Med Surge Chapter Test) |
| Priority Nursing Intervention with Acute Lower Extremity Deep Vein Thrombosis would include what? | Administrering Anticoagulants, as ordered. |
| Where are most aneurysms found? | Abdominal Aorta |
| I have lymphdepathy, bone pain, and oral lession, heptomegaly, & spenomegaly what do I have? | Leukemia's |
| I am the drugs: Antihypertensive: beta blockers, Calcium Channel Blocker, Ace Inhibitors, IV Beta Blocker: Brevibloc what disease am I treating? | Aortic Dissection |
| Difference between Chronic vs Acute Myelogenous Leukemia | Chronic: Older Adults 50-70 yrs & Philladelphia Chromosome Acute: Adults uncontrolled myelobast crowd & replace normal cells in marrow |
| What would I take MOPP or ABVD Drugs for? | Hogdkins |
| I have moist dressings such as hydrocolliods, hydrogets, am taking VIT C, Protein, Zinc, and wearing a UNNA Boot, what do I have? | Varicose Veins |
| IF taking Coumadin (warfin) what foods should you avoid in large amounts? | Vitamin K, such as green leafies. |
| I have venus stasis ulcers in medial maleolous, they are irregular shape, reddish color and can become infected what do I have | Chronic Venus Insufficiency. Signs: Edema & Warmth. |
| What is the treatment for Superficial Thrombophlebitis? | Remove IV, elevate and apply warm moist heat. |
| Electrophoresis Test is for what disease? | Sicke Cell Detection. Dectects HgB S. |
| I may not have postive Homanns sign my most serous complication is pumonary emboli, what disease am I? | DVT |
| What should you check Post Op for Periperal By Pass? | Peripheral Pluse of affected limb & non-effective limb. Call MD if not present. |
| I have arterial ulcers on the Lateral Maleolous I am a sign of what? | PAD Lower Extremities. |
| Drug treatment for Myelodysplastic Syndrome? | Epogen, Nuepogen, Azacidine & Blood Transfussion. |
| Malignant disorder that arise from granulocytic cell in bone marrow will primary effect causing what? | Decreased Phagocytosis of Bacteria. |
| Sign of rupture of aneurysm? | SOB, dizzyness. |
| Highest Risk for developing DVT | Elderly or anyone with low immunity, from chemo, or prexisting disease. |
| Presence of Bence Jones Protein means what? | Mutiple Myeloma |
| Catheter with folded Dacron cylinder surrrounded with flexible wire w/o sutures to aneurysm site balloon creating seal blood flow thru graft & benefit? | Benefit: Less Invasive, less anethesa, shorter hospital stay. Endocopic Vasuclar Graft Stent |
| Rest Pain is maifestation of PAD that occurs as a rsult of what? | Inadequte blood flow to the nerves of the feet. |
| Aquired Hemolytic reactions to what meds? | Peniclillin, Quidine, Indomethacin. Treatment Steroids, Spleenotomy, remove causitive agent. |
| Treatment Immume Thromboytopenia Purpura. | Avoid Asprin. Take Steriods, have spleenoctomy. Presence of fever but no Fever. |
| Im taking Simastin, Antipltles Agents, Plavix, Trental & Pletal, what do I have? | PAD Lower Extremities. |
| Classic Symptoms: Fever, joint pain, CNS manifestation plus Luekema Menegittis, what do I have? | Acute Lymphocytic Leukemia. |
| Osteoporosis is common in what disease? | Multiple Meyloma *excess M-Protein* |
| Im a Indirect Trhombin Inhibitor? What drug am I? | Heparin usually gien IV Drip. |
| At high alttude I may have a noramly high RBC count why? | Hypoxia caused by decreased atmospheric oxygen stimulates Erythropoieses. |
| What meds should I take for Rynauds Phenomenon? | Calcium Channel Blockers. |
| This procedure uses patients own vein or sythetic graft to carry blood around lesion, what is it? | Peripheral Arterial Bypass Surgery. |
| Tear between intimal and medial layers of the artery creating a false lumen of blood flow; more pressure is exxcerted on damaged area eventually branches suppply to major areas, BAKES, Brain, Abdominal, Kidney, Extremities, Spinal Cord. What is? | Dissecting Aneuurysm, Not reallyt an annuresym. |
| I am radio active cobalmin 24 hour urine test what test am I? | Shillings Test. |
| What does the drug Trenta Do? | Used in PAD Lower Extremities. Increases RBC, and Lowers Blood Viscosity. |
| I have Bone Marrow Failure, WBC infiltration = Bone marrow overcrowding and decrease production of normal marrow element, what do I have? | Leukemia's |
| What lab values would you expect to see after a spleenoctomy? | Increased Platelet Count. |
| How would you diagnois Luekemia's? | CBC, Blood Smears, Bone Marrow Aspiration, then Lumbar Punction & CT Scans. |
| Often caused by Virchow's Triad? | DVT & Venus Thrombosis. |
| How do you care for an Ischemic Limb? | Keep dry, No tape on affected area. Associated with pain at rest, arterial leg ulcers, gangrene. |
| Why am I having an insertion of a Greenfield Filter? | Thrombectomy "DVT, filters out clots in a vein. |
| Diagnosis procedure of choice for Aortic Dissection. | CT or MRI Diagnostic Procedure. |
| Side effects of Calcium Channel Blockers? | Edema, bradycardia, dizzy, decreased cardiact output. Take for Raynauds Disease. |
| If you have Hemophillia what should you not take? | Asprin, or Anticoags |
| I have Hypovolemic Shock = tachycardia, hypotention, pale clammyskin, decreased urine, confusion, abdominal pain, increase pulse and need surgery, what do I have? | Rupture in Abdomen Aneursym. |
| Drugs for Thrombolytics for DVT, directly disolves clots? | Steptokinase, urokinase, tpa (tissue plasmigen activator). |
| Opening the artery and removing plawue then sewing a patch to open to widen lunen is what? | Patch Graft Angioplasty. |
| What do you replace with Hemo A & Hemo B? | Hemo A: replace facotr VIIIHemo B: replace facotr XV |
| My legs hurt when dangled below heart level? what is a sign of? | PAD & Arterial Ulcers on my Lateral Maleolous. |
| Treatment Immume Thromboytopenia Purpura. | Avoid Asprin. Take Steriods, have spleenoctomy. Presence of fever but no Fever. |
| Im taking Simastin, Antipltles Agents, Plavix, Trental & Pletal, what do I have? | PAD Lower Extremities. |
| Classic Symptoms: Fever, joint pain, CNS manifestation plus Luekema Menegittis, what do I have? | Acute Lymphocytic Leukemia. |
| Osteoporosis is common in what disease? | Multiple Meyloma *excess M-Protein* |
| Im a Indirect Trhombin Inhibitor? What drug am I? | Heparin usually gien IV Drip. |
| At high alttude I may have a noramly high RBC count why? | Hypoxia caused by decreased atmospheric oxygen stimulates Erythropoieses. |
| What meds should I take for Rynauds Phenomenon? | Calcium Channel Blockers. |
| This procedure uses patients own vein or sythetic graft to carry blood around lesion, what is it? | Peripheral Arterial Bypass Surgery. |
| Tear between intimal and medial layers of the artery creating a false lumen of blood flow; more pressure is exxcerted on damaged area eventually branches suppply to major areas, BAKES, Brain, Abdominal, Kidney, Extremities, Spinal Cord. What is? | Dissecting Aneuurysm, Not reallyt an annuresym. |
| I am radio active cobalmin 24 hour urine test what test am I? | Shillings Test. |
| What does the drug Trenta Do? | Used in PAD Lower Extremities. Increases RBC, and Lowers Blood Viscosity. |
| I have Bone Marrow Failure, WBC infiltration = Bone marrow overcrowding and decrease production of normal marrow element, what do I have? | Leukemia's |
| What lab values would you expect to see after a spleenoctomy? | Increased Platelet Count. |
| How would you diagnois Luekemia's? | CBC, Blood Smears, Bone Marrow Aspiration, then Lumbar Punction & CT Scans. |
| Often caused by Virchow's Triad? | DVT & Venus Thrombosis. |
| How do you care for an Ischemic Limb? | Keep dry, No tape on affected area. Associated with pain at rest, arterial leg ulcers, gangrene. |
| Why am I having an insertion of a Greenfield Filter? | Thrombectomy "DVT, filters out clots in a vein. |
| Diagnosis procedure of choice for Aortic Dissection. | CT or MRI Diagnostic Procedure. |
| Side effects of Calcium Channel Blockers? | Edema, bradycardia, dizzy, decreased cardiact output. Take for Raynauds Disease. |
| If you have Hemophillia what should you not take? | Asprin, or Anticoags |
| I have Hypovolemic Shock = tachycardia, hypotention, pale clammyskin, decreased urine, confusion, abdominal pain, increase pulse and need surgery, what do I have? | Rupture in Abdomen Aneursym. |
| Drugs for Thrombolytics for DVT, directly disolves clots? | Steptokinase, urokinase, tpa (tissue plasmigen activator). |
| Opening the artery and removing plawue then sewing a patch to open to widen lunen is what? | Patch Graft Angioplasty. |
| What do you replace with Hemo A & Hemo B? | Hemo A: replace facotr VIIIHemo B: replace facotr XV |
| My legs don't hurt when dangled below heart level? what is a sign of? | PAD & Arterial Ulcers on my Lateral Maleolous. |
| I have damaged valves wih retrograde venous blood flow, pooling in legs & swelling leading to Venus Stasis Ulcer, what do I have? | Chronic Venous Insufficiency. Varicous Veins. |
| Nursing Intervention for what? Check peripheral ciruculation via Pedal Pulses/posterior tiial pulses, CSM, Caprefill less than 2-3 sec, VS, pain level, skin color and temp of lower extremties. | Aneurysms |
| I have hyperlipidema, hypertension and loss of DM control, what do I have? | PAD Lower Extremities. |
| ITP Antigen Test is for what disease? | Immunue Thromocytopenia Purpura |
| Major difference between Hodgkins Lymphoma and Non-Hodgkins Lymphoma is what? | Hodgkins Lympoma is consdered potentially curable. |
| What is the most common cause of Aneurysm? | Artherosclerosis Inner Layer, Middle Layer |
| What does the drug Pletal do? | Inhibits platlet agregation. |
| Positve Reed Steinberg Cells, Bone Marrow Aspirations, Night Sweats are seen in what? | Hodgkins Lymphoma & Hodgkins Disease. |
| Im taking Procardia & diltiazen(Cardizem) because they RELAX SMOOTH ARTERIAL MUSCLE by blocking the infux of calcium into cells reducing VASOSPASMS, what do I have? | Raynauds Disease |
| I have palpable firm cordlike vein with surrounded tenderness, warmth and low grade fever common with IV therapy, what do I have? | Superficial Thrombophlebitis (DVT) |
| High risk for hypertension? | African Americans. |
| A deficiency in ALL cellular blood componets what disease? | Myelodysplastic Syndrome. |
| Percutanoeous Transluminal Balloon Angioplasty is best used for what? | Iliac & Femoral Obstruction. Complications: Reaapers. |
| I have a vasopastic disorder of fingers/toes and affect mostly females age 15-40 what disease? | Raynauds (Red White Blue) precipated by Cold. |
| I have Venus Stais damanged endotherlium hypercoaguabilty of blood fibrin entraps RBC, WBCd if detach become emboli = plumonary emboli, what do I have? | DVT or Venous Thrombosis. |
| Patient has decreased cardiac output, caused by fluied volum deficti and marked vasodilation, what regulatory mechanism will increase the blood pressure improving both of these? | The activation of the RENIN-ANGIOTENSION ADLOSTREONE SYSTEM. |
| thought to be autoimmunie but may be due to druge toxities such as chem, quine, oral contratceptative, Valtrex or from pregnancy, infection, lupus or secleroderma what diseas | Thombotic Throbocytopenic Purpura |
| Clinical Manifestation: bleeding, causing petichea, ecymosis, epistaxis, purpura, major complication: hemorrage what disase | Immune Trombocytopenic Purpua, Autoimmune sydrome of abnormal destruction of circulating platelets. |
| My treatment is plasma exchange = plamaphoresis = replace a missing enzymes charaterisitic of this disease spleneoctomy. what do I have | Thrombotic Thomboytopenic Purpura |
| What disease starts in the distal arteries then to proixmal | Thromboangities Obliterans, Buerger's Disease |
| Recurrent, INFLAMMATORY, vaso-occlusive disorder of small and medium sized arteries which causes damage to arterial wall, cuasing firosis and thrombi, extremely asso with smoking | Thromboangitis Olbiterans, Buerger's Disease |
| Treatment Buerger's Disease | Calcium Channel Blockers, Plavix, Anticoagulants No Surgeryy large arteries not involved, obstruction too distal |
Created by:
keldog09
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