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*N126-4-Anemia #3*

Dobrisky-Anemia of Chronic Disease

QuestionAnswer
anemia of chronic disease is evidenced by underproduction of RBCs and mild shortening of RBC survival
the average life span of an RBC is 120 days
causes of anemia in chronic disease are ESRF, chronic liver disease, chronic inflammation, malignant tumors and/or chronic endocrine disease
end-stage renal failure (ESRF) results in a decrease in erythropoietin
serum ferritin is increased or decreased in chronic disease anemia? increased
are iron stores increased or decreased in chronic disease anemia? increased
describe folate and cobalamin levels during chronic disease anemia normal
what is the best collaborative intervention for chronic disease anemia? treating the underlying cause
how often are blood transfusions given to treat chronic disease anemia? rarely
besides treating the underlying cause of chronic disease anemia what other type of therapy is successful? erythropoietin therapy
what type of anemia is associated with a decrease in all blood cell types? aplastic anemia
is aplastic anemia common or rare? rare
how can aplastic anemia be managed? erythropoietin or blood transfusions
blood transfusions are used as treatment in what types of anemia? aplastic and iron deficiency anemia if no other treatment has been successful.
seafood is suggested in the diet of which type of anemia patient? iron deficient anemia
egg yolks and enriched cereal is suggested for which type of anemia? iron deficient anemia
yeast dried beans and citrus fruits are suggested for which type of anemia? folic acid deficiency
altho rare, aplastic anemia can become a critical condition when hemorrhage and sepsis are involved with s/s of fatigue, dyspnea and CV alterations like an increased HR.
what might be the causes of aplastic anemia? congenital secondary to chromosomal alterations or radiation, chemicals, viral and bacterial infections.
what are the symptoms of aplastic anemia caused by? suppression of any or all bone marrow elements
which type of anemia can be caused by viral or bacterial infections? aplastic
upon assessment of a patient with aplastic anemia what would you expect the HR to be like? increased
what general signs would you easily see in the patient with aplastic anemia? pallor, fatigue, dyspnea
how are complications from infection and hemorrhage managed in the patient with aplastic anemia? bone marrow transplantation and or immunosuppressive therapy
aplastic anemia is an immune mediated disease
describe the size and shape of RBCs in aplastic anemia normocytic, normochromic
hematopoietic stem cell transplants, with ATG and cyclosporine or cytoxan are used to fight what type of anemia? aplastic
ATG is horse serum
ATG contains polyclonal antibodies agains what human cells? T cells
what adverse effects are assessed for with ATG therapy? anaphylaxis and serum sickness.
what nursing actions are critical for the patient with aplastic anemia administer oxyen via NC as ordered, monitor for safety and side effects of meds
Acute Blood loss is what type of anemia? normocytic, normochromic anemia
what are the immediate nursing actions for a patient in acute blood loss? oxygen then blood transfusions while stopping further loss
trauma, complications of surgery or disruption of vascular integrity are all causes of what type of anemia? acute blood loss anemia
acute blood loss causes what change in level of consiousness? decreased
what is causing the decreased level of consciousness during acute blood loss? decrease in oxygenation of vital organs
what other symptom is evident during acute blood loss? pain due to tissue distention, organ displacement and
what complications arise from acute blood loss? hypovolemic shock and reduced plasma volume
in which type of anemia is a problem with RBCs not assessed by labs for 2-3 days? acute blood loss
for which types of anemias is oxygen a priority to administer? acute blood loss and aplastic anemia
which type of anemia may be impossible to prevent if caused by trauma? acute blood loss
Created by: Lori Dobrisky
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