Hematologic Disorders

Question 1

iron deficiency anemia effects this age group (2 populations)

Answer 1

9 -24 months; adolescence

Question 2

1 cause of iron deficiency anemia

Answer 2

too much milk intake; not enough iron intake

Question 3

changes seen under the microscope in iron deficiency anemia

Answer 3

microcytic; hypo-chromatic cells

Question 4

mgmt of iron deficiency anemia

Answer 4

rice cereal - vegetables - fruits - meats (wait 1 week between for allergies)

Question 5

s/s of iron deficiency anemia

Answer 5

porcelain like skin (hemoglobin is reduced

Question 6

when giving iron give it with

Answer 6

OJ - increases iron absorbance
give w/dropper in back of the throat to avoid teeth stain
expect dark/tarry stools
give tid

Question 7

prevention is the goal in iron deficiency anemia

Answer 7

yes

Question 8

foods high in iron

Answer 8

liver
green leafy veggies
rice cereal (cream of wheat/oats, cheerios)
eggs

Question 9

population most commonly affected by sickle cell anemia

Answer 9

african americans

Question 10

is there a cure for sickle cell anemia

Answer 10

no

Question 11

sickle cell anemia is inherited t or f

Answer 11

true - inherited disease

Question 12

sickle cell anemia cycle

Answer 12

periods of exacerbation’s and remissions

Question 13

what will exacerbate a sickle cell crisis

Answer 13

infection
stress
dehydration
hypoxia
alterations in acid-base

Question 14

different types of crises if you have sickle cell

Answer 14

acute chest syndrome (pulmonary infarcts leading to issues with respirations)
most common type vaso occlusive episode/crisis - red blood cells go into sickle shape - block circulation from periphery
sshb - sickle shape hemoglobin
spleen - all red blood cells pool in spleen

Question 15

do the red blood cells live as long in sickle cell anemia

Answer 15

no - hemolytic anemic

Question 16

s/s of sickle cell anemia

Answer 16

blindness due to sickle cells in retina
males - prolonged erection
kidney issues - causes enuresis

Question 17

what is enuresis

Answer 17

wetting bed after toilet trained age

Question 18

what is corporesis

Answer 18

pooping the bed after age of continence

Question 19

mgmt of sickle cell anemia (3)***

Answer 19

hydration - give plenty of fluids
oxygenation - prevents further sickling
analgesia - pca of narcotics - morphine

Question 20

tell-tale sign of hemophilia

Answer 20

hemoarthrosis - bleeding into joint space
immobilize joint
elevate
ice

Question 21

nursing care for hemophilia

Answer 21

no rectal temps
factor replacement
avoid IM injections
soft bristle toothbrushes