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Hema Flashcards

1
Q

IRON DEFICIENCY ANEMIA
no.1 cause

A

BLOOD LOSS/ TRAUMA/ SURGERY/ GI BLEED

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2
Q

IRON DEFICIENCY ANEMIA 3 LATE SX

A

Brittle hair, cyanosis, spoon shaped nails

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3
Q

IRON DEFICIENCY ANEMIA CBR or not

A

CBR to dec O2 demand

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4
Q

IRON DEFICIENCY ANEMIA diet

A

GLORY DIET (green leafy, Legumes, Organ meats, Raisins, Yolk)

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5
Q

IRON DEFICIENCY ANEMIA ano 3 bawal i-take pag umiinom iron

A

Antacid, Tea, and Milk (2-3 before/after meals)

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6
Q

IRON DEFICIENCY ANEMIA Ferrous Sulfate
Better absorption:
Best absorbed:
Best time:

A

Vit C/ food sources
Empty stomach
W meals

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7
Q

IRON DEFICIENCY ANEMIA Ferrous sulfate liquid prep nakaka?

A

Teeth stained

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8
Q

IRON DEFICIENCY ANEMIA Ferrous sulfate parenteral prep best site?

A

IM Z track (prevent discoloration and subq tissues)

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9
Q

PERNICIOUS ANEMIA
Attacks?

A

CNS

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10
Q

PERNICIOUS ANEMIA concept

A

Lack of intrinsic factor for Vit B12 absorption

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11
Q

PERNICIOUS ANEMIA
makes immature to mature RBC, from stomach, reabsorb sa parietal cells

A

INTRINSIC FACTOR

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12
Q

PERNICIOUS ANEMIA 2 fxns of VIT B12

A

RBC MATURATION
MYELIN SHEATH PROTECTION

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13
Q

PERNICIOUS ANEMIA hallmark

A

Red beefy tongue

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14
Q

PERNICIOUS ANEMIA other sx

A

Anemia, Numbness and paresthesia, mouth sores

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15
Q

PERNICIOUS ANEMIA dx test

A

Schilling’s test (24-48h urine collection; vit b22 ingest)

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16
Q

PERNICIOUS ANEMIA lifelong injection of Vit b12? Ilang ml? Tuwing kelan? route and site

A

Yes, 5-10 ml, q 3 mos IM, Dorso and ventrogluteal

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17
Q

PERNICIOUS ANEMIA bat 3 mos pag inject ng Vit b12

A

Erythropoietin production

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18
Q

APLASTIC ANEMIA concept

A

BONE MARROW SUPPRESSION

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19
Q

APLASTIC ANEMIA tatlong mababa

A
  1. Rbc (anemia)
  2. Wbc (infection)—sore throat muna then fever
  3. Platelet (bleeding)
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20
Q

APLASTIC ANEMIA dx and saang site

A

Bone marrow aspiration, posterior iliac crest

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21
Q

APLASTIC ANEMIA bone marrow aspiration painful or painless

A

Painless

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22
Q

APLASTIC ANEMIA ibibigay

A
  1. Fresh whole blood
  2. Packed RBC
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23
Q

APLASTIC ANEMIA what type of isolation (infection, pt iniingatan)

A

REVERSE ISOLATION

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24
Q

APLASTIC ANEMIA Precautions

A

BLEEDING PRECAUTION (noncontact sport, isometric exercise, padded side rails, solitary play)

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25
Q

APLASTIC ANEMIA isometric exercise

A

Sa kama lang kasi CBR

26
Q

SICKLE CELL ANEMIA life long disorder or not

27
Q

SICKLE CELL ANEMIA
Clamping of RBC, dec circulation, backflow/pain

A

SICKLE CELL CRISIS

28
Q

SICKLE CELL ANEMIA mngt sa sickling

29
Q

SICKLE CELL ANEMIA embolism prevention

A

LOOSE CLOTHING

30
Q

THALASEMIA MAJOR concept

A

Lack of B globulin needed for Hgb synthesis—> Hemolytic Anemia

31
Q

THALASEMIA MAJOR classic sx

A

pathologic fracture/ bone pain (si tala may bone pain)
Severe ang anemia
Progressive pallor

32
Q

THALASEMIA MAJOR __therapy

A

Fe Chelation therapy (Deferoxamine)

33
Q

THALASEMIA MAJOR cause of death

A

Hypovolemic shock

34
Q

THALASEMIA MAJOR life expectancy

A

Late childhood

35
Q

POLYCYTHEMIA VERA concept

A

inc bone marrow element

36
Q

POLYCYTHEMIA VERA classic sx

A

Pruritus
Painful fingers and toes
Red to purple to blue skin

37
Q

POLYCYTHEMIA VERA confirmatory test

A

Bone marrow aspiration

38
Q

POLYCYTHEMIA VERA viscous blood ano mataas

39
Q

POLYCYTHEMIA VERA Rx factor

40
Q

POLYCYTHEMIA VERA unusual mataas makita sa dx

A

Uric acid= gouty arthritis

41
Q

POLYCYTHEMIA VERA mngt done q 3 mos kuha 250-500 cc

A

PHLEBOTOMY

42
Q

POLYCYTHEMIA VERA mngt as Ca agent

A

Hydroxyurea

43
Q

POLYCYTHEMIA VERA mngt for gout and ano SE

A

Allopurinol, Steven Johnson Syndrome

44
Q

POLYCYTHEMIA VERA mngt sa pruritus

A

Oatmilk bath, cold compress, antihistamine

45
Q

POLYCYTHEMIA VERA HE

A

no long period ng rest (hypercoaguability)
Follow up q 3 mos
Resume ADL

46
Q

IDIOPATHIC THROMBOCYTOPENIA PURPURA
concept

A

Baba platelet

47
Q

IDIOPATHIC THROMBOCYTOPENIA PURPURA common age

A

School age to adole

48
Q

IDIOPATHIC THROMBOCYTOPENIA PURPURA nursing diagnosis

A

Disturbed body image

49
Q

IDIOPATHIC THROMBOCYTOPENIA PURPURA sx

A

Easy bruising, ecchymosis, petechiae, bleeding mucous membrane

50
Q

IDIOPATHIC THROMBOCYTOPENIA PURPURA cause and contributing factor

A

Unknown, autoimmune

51
Q

IDIOPATHIC THROMBOCYTOPENIA PURPURA unang unang ibibigay

A
  1. Steroid 3 days para dec ung antibody na antiplatelet
  2. IVIG
  3. Anti D antibody
52
Q

IDIOPATHIC THROMBOCYTOPENIA PURPURA IVIG is based on?

53
Q

IDIOPATHIC THROMBOCYTOPENIA PURPURA tx na obsolete na

A

Anti D antibody

54
Q

Anti D antibody 4 requirements

A
  • No bleeding
  • Normal hgb
  • Normal wbc
  • <19 y.o
55
Q

IDIOPATHIC THROMBOCYTOPENIA PURPURA last tx modality

A

PLATELET TRANSFUSION

56
Q

DOC ng batang may pain? Antidote?

A

Acetaminophen. Mucomyct

57
Q

MNGT
Prevent sickle cell crisis
Prevent sickling

A

Hydration
O2

58
Q

Hemophilia classic sx

Polycythemia age target nito

A

Hemarthrosis (Joint bleeding)

Olds kasi malapit dugo (✅aspirin)

59
Q

Erythrocytosis means

Phelobotomy purpose

Stomach surgeries risk for what anemia

A

⬆️RBC

⬇️blood viscosity

Pernicious

60
Q

Status asthmaticus DOC and check?

A

Epinephrine. HR

61
Q

Injecting sticky chemical in pleura to prevent rapid accumulation of fluids, is painful kaya naga morphine

A

Pleurodesis

62
Q

Compli of bronchitis na nagdidilate ang bronchioles

A

Bronchiectasis

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