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Ch 81 Blood/Lymph3
Treatments, Implementations, Disorders
| Question | Answer |
|---|---|
| Sickle Cell Disease | genetic disease where RBCs become crescent or sickle shaped when exposed to decreased oxygen. |
| Sickle Cell Crisis | occurs when deformed RBCs collect in small blood vessels |
| Sicke Cell Trait | Asymptomatic. You carry the cell that can be passed on to your children. |
| nursing goals for sickled cells | inc. tissue perfusion by: O2, folic acid regularly, elevate hob, inc. fluids |
| Thalassemia | anemia characterized by deficient, damaged chains of Hgb (just the Hgb is messed up) |
| Best way to prevent infection | hand washing |
| ALL (Acute Lymphoid Leukemia) | more common in kids < 15 |
| AML (Acute Myeloid Leukemia) | s/s: recurrent infections |
| s/s of CLL (chronic lymphoid leukemia) | malaise, anorexia, fatigue, enlarged lymph nodes, enlarged spleen |
| Thrombocythemia | platelet counts more than 600,000/mm3 |
| Thrombocytopenia | stem cell disorder of bone marrow where client's platelet count falls below 50,000 |
| DIC (Disseminated Intravascular Coagulation) | alternating clotting and hemorrhaging occurs |
| Hemophillia | sex linked disorder where person's blood is slow to coagulate |
| almost all hemophillia affected individuals are | males (given to son from mom) |
| treatment for hemophillia | apply pressure and ice |
| common finding of Hodgkin's Disease | painless, enlarged lymph nodes |
| Ann Arbor stage 1 of Hodg. Dis. | single node |
| Stage 2 of Hodg. Dis. | > 1 node |
| Stage 3 of Hodg. Dis. | ablove and below diaphram |
| Stage 4 of Hodg. Dis. | moved on to organs and tissues |
| Diagnosis of Hodgkin's Disease | Biopsy study showing Reed-Sternberg cells in lymph node tissue |
| Sickle cell disease and thalassemia are both | inherited disorders involving dysfunctional hemoglobin. |
| Common side effect of antineoplastic drugs | neutropenia |
| A major difference between Hodgkins disease and non-Hodgkins lymphoma is that | Hodgkins disease initially affects one lymphatic area, while NHL affects many areas. |
| An older pt. with c/o back pain with movmnt, hypercalcemia, and fx's should be tested for | multiple myeloma |