Anemias And Resp

Question 0

Management of Polythycemia

Answer 0

Antipruritic (intron A) interferon, Paxil
Antihistamines
Chemo hydoxy urea (hydrea)
Agrylin (platelet inhibitor)

Question 1

Polythycemia s&s

Answer 1

Splenomegaly
Ruddy complexion
Erythromelalgia
Pruritus 
Orthopnea
Htn
Bleeding
Blood volume increases
Thick blood!! DVT, stroke

Question 3

Resp alkalosis

Answer 3

Hyperventilation
Pain
Acute anemia
Aspirin poisoning

Question 4

Resp. Acidosis cause

Answer 4

Emphysema
Drug overdose 
Resp arrest
Airway obstruction
CNS depression

Question 5

Metabolic acidosis causes

Answer 5

Renal failure
Diabetic ketoacidosis
Excessive diarrhea

Question 6

Metabolic alkalosis

Answer 6

Excessive intake of bicarbonate
Antacid 
Increases loss of HCL
vomiting
Gastric suction

Question 7

At risk for pleurisy

Answer 7

CHF
Lung cancer
TB
Pneumonia
Thoracotomy
PE
trauma to chest

Question 8

NI Polythycemia

Answer 8

No crossing of legs
No aspirin 
No smoking or alcohol
No iron 
No tight clothing
Baking soda, cocoa butter, oatmeal based lotion

Question 9

cyanocalamin

Answer 9

C: with meals
Y: soy
A: anemia pernicious (vit b12 inj)
N: note rash and flush
O: Oysters, organ meats
C: clams/cereals
ANAPHYLACTIC SHOCK
BASELINE K+, CBC and vit b 12
A
LUNG EDEMA
A
Muerte (sudden death)
Increase milk, salmon, sardines, egg yolk.

Question 10

Accolate/Zafirlukast

Answer 10

A: asthma prophylactically
C:hurg-strauss syndrome:fever, muscle aches and wt loss
C:heck reap. status and airway function
O:ne hour before meals and 2 hrs after
L: liver failure
A: around body pain
N/V/D/F

Question 11

Albuterol/Metaproterenol Sulfate

Answer 11

A: Asthma, emphysema and brochitis
L: Listen to lung sounds for efficacy of drug
B: Bronchodilator
U: Use it for acute attacks
T: tremors/tachycardia
E: eat with it
R: Really bad taste to mouth/resp. status
O: HypOtension
L: leads to drowsiness

Question 12

Folic Acid/ Vitamin 9

Answer 12

F: flushing slighlty and feeling of warmth
O: on supervision of MD
L: Long use of alcohol and Dilantin cause def.
A: Assess for drug and alcohol use prior
T: non-Toxic
E: Essential for erythropoiesis. Stimulates WBC and Plts in pts with megaloblastic anemias.

Question 13

Ferrous Sulfate/Feosol

Answer 13

F: fiber increased
E: eggs, milk, coffee NO!!
O: on empty stomach
S: stra for stained teeth
O: tOmato juice, vit C, strawberry
L: bLack stools

Question 14

Iron Dextran/Imfed

Answer 14

I: injection site hurts/into buttocks/increase vit C
M: makes blood/make sure check Hct and Hgb. 4-8 weeks results.
F: Flush vein after administration and have her lay down bc of orthostatic hypotension/Fever/Flushing/Fatal cardiac arrhythmias
E: Epi on hand for anaphylaxis
D: Difficulty breathing, pain and redness. hives and headaches REPORTED

Question 15

Potassium Iodide/SSKI/Lugol’s solution

Answer 15

P: PO with meals/potassium levels
O: cOnfused (poisoning)
T: thins secretions
A: angioedema/arthralgias/F/abdominal pain, distention
S: Stomatitis (poisoning)/stools bloody
S: Salty taste (dilute in water/juice-decreased GI distress)
I: Intake of milk is avoided/increase fluids
U: mucus viscosity decreased
M: metallic taste in mouth (poisoning)/milk avoided

Question 16

Theophylline

Answer 16

T: take with food and after meals/tachycardia
H: headaches
E: encourage 2-3 L of fluids
O: OTC cough supressants discouraged
P: PO or IV/
H: high CNS stimulation
Y: You should assess VS
L: levels 10-20 mcg/ml
L: limit caffeine
I: irritability/insomnia
N: No charchoal broiled foods.