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NRN 202 Anemias
CCAC NRN 202 Anemias
Question | Answer |
---|---|
What is the main function of Bone marrow? | Where blood cell production takes place |
What type of tissue is blood? | connective |
What are the three things blood does? | transportaion, regulation, and protection |
What is plasma primarily made of? | water |
What is the primary purpose of Erythrocytes? | transportaion of gases and acid-base balance |
Why do RBCs have a biocave shape? | Allows them to change shape to pass through tiny capillaries |
What regulates erythropoiesis? | cellular oxygen requirements and general metabolic activity |
What is another name for an immature erythrocyte? | reticulocyte |
How much of the body's iron is found in hemoglobin? | 2/3 |
Where is the rest of the body's iron found? | 1/2 found in bone marrow, spleen, liver and macrophages as ferritin |
Define anemia. | Deficiency in the number of erythrocytes, quantity of hemoglobin, and volume of packed RBCs |
What is the most common chronic hematologic disorder? | Iron-deficiency anemia |
What are clinical manifestations of severe Iron-deficiency anemia? | pallor, jaundice, puritis, retinal hemorrhage, blurred vision, smooth tongue, tachycardia, angina, HF, MI, headache, vertigo, irritability, impaired thought process, anorexia, diff, swallowing, bone pain, sensitivity to cold, wt. loss, lethargy |
Give 3 examples of foods high in iron that you would encourage your client to eat. | Bran flakes, oatmeal, dark green leafy vegs, tofu, nuts, |
When giving iron supplements, what should you remember? | Take 1 hour before meals, vit. C inhances absorption |
With Aplastic anemia, what values would you expect to see in a CBC? | Decreased Hemoglobin, WBC, and platelets |
What is the nursing management for Aplastic anemia? | Identify and remove the underlying cause, prevent complications and hemorrhage |
What are 2 forms of treatment for Aplastic anemia? | Immunosuppresvie therapy and Hematopoietic stem cell transplant |
For a diagnosis of Thrombocytpoenia, what does the platelet count need to be? | Below 150,000 |
In Immune Thrombocytopenic Purpura, where does the problem with the platelets occur and why? | In the spleen, breaks them down because the are coated with antibodies - recognized as foreign. |
What is commonly given with steroids in the treatment of Immune Thrombocytopenic purpura and why? | Danazol, increases CD4 T cells |
What value of neutrophils constitutes severe neutropenia? | <500 |