hematological disorder

Question 1

hematologic system

Answer 1

blood
blood forming tissues
erythrocytes (rbc)
thrombocytes
leukocytes

Question 2

patho of sickle cell

Answer 2

triggered by stress, infection, fever, dehydration , physical exertion, excessive cold, hypoxia
FINISH

Question 3

nursing intervention sicle cell

Answer 3

treat underlying cause
increase fluid intake- orally or IV
frequently evaluate respiratory and circulatory status- chest pain, back pain, fever, cough, dyspnea (admin O2 if POX is 92 or less, report to dr.)

Question 4

von williebrand disease

Answer 4

genetically transmitted bleeding disorder
deficiency in vWF- both geneder affected, mild bleeding disorder

Question 5

s/s of VMF

Answer 5

epistaxis - nose bleeds
bleeding after oral surgeries
menorrhagia in pubescent girls
bruise easily

Question 6

nursing care of VMF

Answer 6

medical alert band
instruct parents about common sites of bleeding- nose, gums, internal, menses
control bleeding- pressure, ice, seek medical attention
avoid use of aspirin or NSAIDS

Question 7

childhood cancer

Answer 7

attacks tissues
little known about prevention
progress rapidly
very responsive to treatment
treated at special cancer facilities
arise from primitive embryonal and neuroectodermal tissues

Question 8

adult cancer

Answer 8

affects organs
80% preventable
cant take a long time to progress
less responsive to treatment
treated inlocal hospital facilities
arise from epithelial cells

Question 9

chemotherapy

Answer 9

destroys cancer cells
disrupt cancer cell cycle
disrupts normal rapidly dividing cells (most likely to be affected) - bone marrow, digestive tract (mouth), reproductive system, hair follicales

Question 10

common adverse effects of chemo

Answer 10

immunosuppresino
infection
mylesuppresion
n/v
constipatin
oral mucositis
alopecia
pain

Question 11

leukemia

Answer 11

primary disorder of the bone marrow
acute- rapidly preogressive, affect undifferentiated or immature cells
chronic- progress more slowly

Question 12

acute lymphoblastic leukemia (ALL)

Answer 12

most common form of cancer in kids
85% ages 2-10 years
t cell
b cell
early pre b cell
pre b cell

Question 13

acute myleogenous leukemia (AML

Answer 13

second most common type
affects myeloid cell progenitors or precursors in bone marrow
malignant (invasive and fast growing)

Question 14

lymphomas

Answer 14

tummor of the lymph tissue
10-15% of childhood cancers

Question 15

type catagories of lymphomas

Answer 15

Hodgkin- starts in one general area of lymph nodes
non- lymph nodes more deeply in the body uncontrolled growth