nursing 165 mtc hematology
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| Platelets normals | 150,000 – 400,000 mm
🗑
|
||||
| how long do platelets live? | Live for 7 to 10 days
🗑
|
||||
| red blood cell normals | 4,200,000 to 6,100,000/mm3
🗑
|
||||
| What do red blood cells produce? | hemoglobin
🗑
|
||||
| What is a critical component in hemoglobin? | iron
🗑
|
||||
| Hemoglobin normal for female? | 12- 16 g/dl
🗑
|
||||
| Hemoglobin normal for male? | 14 – 18 g/dl
🗑
|
||||
| White blood cell normal? | 5000 – 10,000/uL
🗑
|
||||
| How long do white blood cells live? | days to years
🗑
|
||||
| What does Hematopoiesis do? | formation and production of blood cells
🗑
|
||||
| where does hematopoiesis happen? | bone marrow
🗑
|
||||
| Where does Erythropoietin hormone primarily produce? | kidney
🗑
|
||||
| What is gerontological problem that usually effects blood cell production? | anemia
🗑
|
||||
| What blood value is sometimes falsely high with a condition of fluid volume? | hematocrit
🗑
|
||||
| What is anemia? | A condition in which the hemoglobin concentration is lower than normal,
🗑
|
||||
| what is Hypoproliferative anemias | The marrow cannot produce adequate numbers of erythrocytes
🗑
|
||||
| What does the Hemolytic anemias involve? | premature destruction of erythrocytes
🗑
|
||||
| What is anemia cause by? | from dietary problems, genetic disorders, bone marrow disease or excessive bleeding
🗑
|
||||
| What is the most common reason for anemia? | GI bleeding
🗑
|
||||
| What are the clinical signs of gradual onset of anemia? | no symptoms, slight tachycardia and fatigue
🗑
|
||||
| what is the nursing management for anemia? | fatigue
🗑
|
||||
| What is the most common cause of iron deficiency anemia? | bleeding
🗑
|
||||
| What are the areas of the body that cause anemia? | ulcers, gastritis, gi tumors, inflammatory bowel disease, menorrhagia, chronic alcoholics and other malabsorption conditions.
🗑
|
||||
| what are the clinical manifestation of iron deficiency anemia? | Weakness, fatigue, dizziness, Pica (chew on ice that is another sign), Brittle, rigid, concave nails, Numbness and tingling, headache and ulcerated corners of the mouth
🗑
|
||||
| How long must you continue on medication for iron deficiency? | 6 -12 months
🗑
|
||||
| iron replacement is poorly tolerated or absorbed, so how else can you administer this medication? | IM injections or I.V. administration
🗑
|
||||
| What is the best way to administer IM iron medication? | Z track
🗑
|
||||
| What food sources are high in iron? | organ meats ( beef or calf’s liver, chicken liver), other red meats, beans (black, pinto, garbanzo), leafy green vegetables, raisins, molasses
🗑
|
||||
| What would you take with iron administration? | orange juice
🗑
|
||||
| Vitamin C foods | citrus fruits and juices, strawberries, tomatoes, broccoli
🗑
|
||||
| how should liquid forms of iron be administered? | through a straw
🗑
|
||||
| What anemia is caused by a Vitamin B12 or folic acid deficiency? | Megaloblastic Anemia
🗑
|
||||
| Alcoholics have a increased need for, what mineral? | folic acid
🗑
|
||||
| common causes of folic acid deficiency | poor nutritution, malabsorption (Crohn’s disease) and drugs( alcohol), anticonvulsants and oral contraceptives
🗑
|
||||
| Folate sources | green leafy vegetables, liver, dried beans, nuts and citrus fruits
🗑
|
||||
| Albumin is a protein in the plasma portion of the blood. Under normal conditions albumin cannot pass through the wall of a capillary. What significance is this for the vascular compartment? | Helps retain fluid in the vascular compartment.
🗑
|
||||
| The instructor in the anatomy and physiology class is discussing the components of the blood. What would the instructor cite as the most abundant protein in plasma? | albumin
🗑
|
||||
| B12 deficiency results from poor intake of foods containing vitamin B 12 usually affects, who? | strict Vegans
🗑
|
||||
| poor absorption of vitamin B 12 can be caused by? | Small bowel resection, diverticula, tapeworm or overgrowth of intestinal bacteria
🗑
|
||||
| Signs and Symptoms for vitamin B12 Anemia? | numbness and tingling in legs and feet.
🗑
|
||||
| Prevent and manage of vit. B12 by? | oral supplements, vitamins or fortified soy milk
🗑
|
||||
| What causes Pernicious anemia? | absence of intrinsic factor and body can't absorb B12
🗑
|
||||
| Who has a higher incidence of gastric cancer? | Pernicious anemia
🗑
|
||||
| What is the medical management for a person with Pernicious anemia? | Monthly injections of B12 for a lifetime?
🗑
|
||||
| What can Aplastic anemia be caused by? | long-term exposure to toxic agents, ionizing radiation or infection, certain meds
🗑
|
||||
| What can trigger Aplastic Anemia? | certain infections, pregnancy, chemicals, radiation demage and toxic material
🗑
|
||||
| symptoms of aplastic anemia? | Fatigue, shortness of breath, and decreased tolerance to activity
🗑
|
||||
| Pancytopenia means | a deficiency in aplastic, leukopenia and thrombocytompenia
🗑
|
||||
| leukopenia means | a reduction in white blood cells
🗑
|
||||
| thrombocytopenia means | a reduction in platelets
🗑
|
||||
| Diagnostic test result for Hemolytic anemia? | Reticulocyte count elevated, bilirubin increased, haptoglobin depleted
🗑
|
||||
| Sickle cell Anemia/Disease is | genetic disorder that causes the hemoglobin to become sickled
🗑
|
||||
| Most common symptom of Sickle cell anemia in crisis | pain
🗑
|
||||
| Other symptoms of sickle cell anemia besides pain? | chronic anemia, pallor, skin cool to touch, jaundice, fatigue, dyspnea, tachycardia, cardiac murmurs, cardiomegaly, splenomegaly
🗑
|
||||
| what are the primary target sites of SCA | spleen, lungs and cns
🗑
|
||||
| what are the complications of SCA? | infection, stroke, renal failure, impotence, heart failure and pulmonary hypetension
🗑
|
||||
| Diagnostic test results for SCA: | Hematocrit is low, reticulocyte is high, MCHC, total bilirubin high
🗑
|
||||
| triggers for sickle cell disease | anesthesia, hypoxemia, low environmental temperature, infection, dehydration, excessive exercise
🗑
|
||||
| what drug is used for medical management of SCA? | corticosteriods
🗑
|
||||
| what IV therapy is used for Sickle cell crisis | D5W or D5.25NS
🗑
|
||||
| What medication is used for Sickle cell to stimulate fetal hemoglobin? | hydroxyurea (hydrea)
🗑
|
||||
| What is the preferred medication for pain management when someone has SC crisis? | morphine
🗑
|
||||
| SC crisis management | O2, pain meds, hydrate with ND, HOB @ 30 degree or less,
🗑
|
||||
| PRIAPISM is | persistent penile erection
🗑
|
||||
| What do you teach the patient to do, when the onset of PRIAPISM happens? | empty bladder, exercise and take warm bathes
🗑
|
||||
| Neutropenia is | decreased production of neutrophils or increased destruction of these cells
🗑
|
||||
| What do neutrophils do? | essential in preventing and limiting infection
🗑
|
||||
| Cause of Neutropenia | aplastic anemia, metastatic cancer, chemotherapy, radiation therapy, hyperspenism
🗑
|
||||
| Neutropenic Precautions are | strict hand washing, private room, no fresh fruits, vegetables, flowers, no visitors or staff with infection
🗑
|
||||
| Polycythemia is | too many cells in the blood
🗑
|
||||
| What is a hallmark of polycythemia vera | splenomegaly
🗑
|
||||
| PV Symptoms | Persistently elevated hematocrit greater than 55% , A ruddy complexion, splenomegaly, headache, dizziness, tinnitis, paresthesias, fatigue, blurred vision, distension of superficial veins, weight loss, enlarged hemorrhoids
🗑
|
||||
| Diagnostics test results for PV | RBC volume, hemoglobin, hematocrit, platelet, B12 and uric acid count elevated
🗑
|
||||
| What are the complication of PV | increased risk for thromhosis and bleeding
🗑
|
||||
| Medical management for PV | Phlebotomy
🗑
|
||||
| What is phlebotomy used for with PV? | to reduce high blood cell levels
🗑
|
||||
| What are the risk factors for PV complications | smoking, obesity, poorly controlled hypertension
🗑
|
||||
| Things to avoid for those with PV | aspirin, minimize alcohol intake, and iron supplements
🗑
|
||||
| PV patient with pruritis should do what? | cool or tepid bath along with cocoa butter based lotions. Avoid vigorous toweling off after bathing
🗑
|
||||
| Which nursing intervention is most appropriate for a client with multiple myeloma | Preventing bone injury
🗑
|
||||
| Both the liver and the spleen have a role in erythrocyte metabolism. How would this role best be described? | The spleen removes erythrocytes after 120 days, and the liver removes severely damaged erythrocytes
🗑
|
||||
| What is a obvious sign of anemia | pallor
🗑
|
||||
| Which type of leukocyte contains histamine and is an important part of hypersensitivity reactions? | basophils
🗑
|
||||
| Primary function of the spleen? | recycling or iron, pooling of platelets, and blood volume regulation
🗑
|
||||
| Pertinent findings of thrombocytopenia are? | Bleeding gums, epistaxis, hematemesis, hypotension and tachypnea
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
597389573
Popular Nursing sets