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hematolgy

anemias,

QuestionAnswer
Most common anemia caused by an inadequate diet Iron-deficiency anemia
Iron deficiency anemia should be considered caused by ______________ until proven otherwise Bleeding
s/s of severe or prolonged iron-deficiency anemia smooth sore tongue, brittle and ridged nails, and angular cheilosis (cracked mouth corners)
Lab levels w/ iron deficient anemia decreased: ferritin, hgb, MCV, Hct and RBC
Nursing responsibilities w/ i.d anemia Preventative education in pregnant and menstruating women; foods high in iron: meats (esp organ meat), beans, leafy green veg, raisins, and molasses; vit c; Take supp 1 hour before meals, no dairy or antacids,
Rare disease caused by decrease or damage to marrow stem cells Aplastic anemia
Aplastic anemia results in severe anemia, __________, and ___________. Neutropenia; thrombocytopenia
Causes of aplastic anemia Infections, pregnancy, meds, chemicals, radiation.
Complications and s/s of aplastic anemia fatigue, pallor, dyspnea, purpura, throat infections (caused by cervical lymphadenopathy), splenomegaly and retinal hemorrhages.
nursing responsibilities w/ aplastic anemia Assess for s/s of infection and bleeding; neutropenic precautions, manage thrombocytopenia; if on cyclosporine, monitor renal or liver dysfunction, htn, pruritis, visual impairment, tremor, and skin cancer.
Created by: lcoole4