ECare - Chapter 24 (Hematologic and Renal Emergencies)

Question 1

coagulation

Answer 1

loss of normal ability to form blood clot

Question 2

diseases associated with coagulation

Answer 2

liver disease, genetic disorders, hemophiliacs, von Willebrand’s disease, risk for heart attacks/strokes, abnormal cardiac rhythms

Question 3

patient care: coagulopathy

Answer 3

primary assessment, treat immediate threats, patient history (blood thinners?), call hospital, shock/decreasing mental status, oxygen if in shock, transport

Question 4

anemia

Answer 4

lack of normal number of RBC

Question 5

signs and symptom of chronic anemia

Answer 5

pale, fatigue, SOB, eventually shock

Question 6

complications of SCA

Answer 6

spleen destruction, sickle cell pain crisis, acute chest syndrome, priapism (painful prolonged erections), stroke, jaundice

Question 7

patient care: SCA

Answer 7

oxygen, monitor for signs of acute chest syndrome (inadequate respiration) to give bag-valve mask ventilation, monitor for hypoperfusion (shock), transport

Question 8

pyelonephritis

Answer 8

infection that begins in urinary tract and ascends up the ureter into the kidney; may report unilateral flank pain

Question 9

signs of kidney stones

Answer 9

unilateral flank pain radiating to groin along with nausea and vomiting

Question 10

urinary catherter

Answer 10

drainage tube in urinary system that allows urine to flow out of body; found in urethra

Question 11

renal failure

Answer 11

loss of kidney ability to filter blood and remove toxins/excess fluid from body

Question 12

causes of acute renal failure

Answer 12

shock, toxic ingestions,

Question 13

causes of chronic renal failure

Answer 13

genetic, diabetes, high blood pressure

Question 14

exchange

Answer 14

one cycle of filling/draining the peritoneal cavity in peritoneal dialysis

Question 15

continuous ambulatory peritoneal dialysis

Answer 15

gravity exchange process for peritoneal dialysis where bag of dialysis fluid is raised above abdominal catheter to fill abdominal cavity and lowered below abdominal catheter to drain fluid out

Question 16

continuous cycler-assisted peritoneal dialysis

Answer 16

mechanical process for peritoneal dialysis where machine fills and empties abdominal cavity of dialysis solution

Question 17

complications of ESRD

Answer 17

when miss dialysis appointment, symptoms resemble congestive heart failure (ex. SOB)

Question 18

Patient Care: ESRD Patient who has missed dialysis

Answer 18

ABCs, vitals, position of comfort (upright on stretcher), oxygen, monitor, transport

Question 19

complications of dialysis

Answer 19

A-V: bleeding, clotting/loss of function, infection; peritonitis is common and serious

Question 20

patient care: ESRD patient with complications of dialysis

Answer 20

BCs, treat bleeding of A-V, oxygen, shock, bring bag,