Exam 1 hem onc Flashcards
Sodium
135-145
Calcium
8.5-11
Creatinine
0.6 - 1.2
CO2 (ABG)
35-45
HC03 (ABG)
22-26
Magnesium
1.5 - 2.5
Altered mental state and seizures can be symptoms of both severe hypo
or hyper ______
Hyponatremia or hypernatremia
Muscle weakness, constipation and dysthymias are sx of ______kalemia
Hypokalemia
Muscle weakness, diarrhea, hypotension and dysrhythmias are sx of ______kalemia
HYPERkalemia
Hyper parathyroid and thiazide diuretics cause an increase in __________ levels
Can cause increase in calcium levels
Chvosteks sign- what is it and why
Facial muscle twitching
HYPOcalcemia
Trousseau sign - what is it and why
Hand and wrist contraction
HYPOcalcemia
Major cation of ICF
Potassium
Major cation of the ECF
Sodium
Low calcium tx
Calcium gluconate
High calcium tx
IV fluid + lasix
Low mag…. 3 assessments
assess DTR
Neuro
Heart and lung sounds
Med for SLE
Hydroxychloroquine
Consideration for pts taking hydroxychloroquine
Eye issues. Need to see ophthalmologist
Pt teaching for PreP
Don’t miss doses. Take same time every day
Side effect of EPO
Pulmonary edema
G6PD deficiency is a type of
Hemolytic anemia
Common med for sickle cell
Hydroxyurea
Mechanism for fibronylitic drugs
Converts plasminogen to plasmin
SLE is a type _ reaction
type III
IgE is the immunoglobulin for type __ rxns
type 1 (think E for epipen)
Hemolytic anemia is a type __ immune reaction
Type II
High mag ——> _______reflexia
Hyporeflexia
Type II reactions onset
Hours to days
Type III immune reaction onset
1-3 weeks
Type I immune reaction onset
Within an hour
Asthma, contact dermatitis, a rash or SJS is a type __ immune reaction
IV
Type IV immune reaction onset
Days to weeks
Platelets
150-400
Most common site bone marrow aspiration
Posterior superior iliac crest
How long to hold pressure after bone marrow aspiration
5-10 min
Normal RBC
4.2 - 5.14
HCT range
38 - 48
Hypoxia vs hypoxemia
Hypoxia - low oxygen in tissues
Hypoxemia - low oxygen in blood
Colony stimulating factors and myelosuppressive drugs issue
They cancel each other out if given within 24hrs
Polycythemia
Too many RBC
Micro vs macrocytic anemia
Micro - lack iron
Macro - vit B deficiency
stage 3 HIV (aka full blown AIDS) CD4 count
<200
2 Hemophilia drugs
DDAVP/Desmopressin
Amicar
3 most common lab abnormalities for tumor lysis
Hyperkalemia, hyperphosphatemia, and hypOcalcemia
electrolyte imablance often seen in pts with multiple myeloma
hypercalcemia
kids w thalassemia are at risk for __________________ because of frequent blood transfusions
iron overload
2 bleeding related things liver is involved in
Prothrombin
Aids in vitamin K synthesis