Hematologic Disorders Flashcards

1
Q

iron deficiency anemia effects this age group (2 populations)

A

9 -24 months; adolescence

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2
Q

1 cause of iron deficiency anemia

A

too much milk intake; not enough iron intake

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3
Q

changes seen under the microscope in iron deficiency anemia

A

microcytic; hypo-chromatic cells

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4
Q

mgmt of iron deficiency anemia

A

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

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5
Q

s/s of iron deficiency anemia

A

porcelain like skin (hemoglobin is reduced

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6
Q

when giving iron give it with

A

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

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7
Q

prevention is the goal in iron deficiency anemia

A

yes

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8
Q

foods high in iron

A

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

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9
Q

population most commonly affected by sickle cell anemia

A

african americans

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10
Q

is there a cure for sickle cell anemia

A

no

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11
Q

sickle cell anemia is inherited t or f

A

true - inherited disease

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12
Q

sickle cell anemia cycle

A

periods of exacerbation’s and remissions

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13
Q

what will exacerbate a sickle cell crisis

A
infection
stress
dehydration
hypoxia
alterations in acid-base
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14
Q

different types of crises if you have sickle cell

A

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

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15
Q

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

A

no - hemolytic anemic

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16
Q

s/s of sickle cell anemia

A

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

17
Q

what is enuresis

A

wetting bed after toilet trained age

18
Q

what is corporesis

A

pooping the bed after age of continence

19
Q

mgmt of sickle cell anemia (3)***

A

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

20
Q

tell-tale sign of hemophilia

A

hemoarthrosis - bleeding into joint space
immobilize joint
elevate
ice

21
Q

nursing care for hemophilia

A

no rectal temps
factor replacement
avoid IM injections
soft bristle toothbrushes